Healthcare Provider Details

I. General information

NPI: 1295259042
Provider Name (Legal Business Name): MELISSA A VERDECCHIA APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 E NEW YORK ST STE 115
AURORA IL
60504-4466
US

IV. Provider business mailing address

1605 W WILSON ST STE 103
BATAVIA IL
60510-1608
US

V. Phone/Fax

Practice location:
  • Phone: 630-499-1900
  • Fax:
Mailing address:
  • Phone: 630-549-5348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277001946
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: