Healthcare Provider Details

I. General information

NPI: 1396269155
Provider Name (Legal Business Name): MELISSA LOPER DRENNEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 49
HOOPER BAY AK
99604-0049
US

IV. Provider business mailing address

PO BOX 49
HOOPER BAY AK
99604-0049
US

V. Phone/Fax

Practice location:
  • Phone: 239-789-7197
  • Fax:
Mailing address:
  • Phone: 239-789-7197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF07171030
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: