Healthcare Provider Details

I. General information

NPI: 1174805006
Provider Name (Legal Business Name): MELISSA LOWERY BEST C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 06/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 MITYLENE PARK DR
MONTGOMERY AL
36117-3547
US

IV. Provider business mailing address

PO BOX 240488
MONTGOMERY AL
36124-0488
US

V. Phone/Fax

Practice location:
  • Phone: 334-290-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number1-087066
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: