Healthcare Provider Details
I. General information
NPI: 1053741694
Provider Name (Legal Business Name): MELISSA LAUREN TORCHETTI RN/NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/18/2013
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
55 HIGHLAND AVE STE 101
SALEM MA
01970-2100
US
IV. Provider business mailing address
55 HIGHLAND AVE STE 101
SALEM MA
01970-2100
US
V. Phone/Fax
- Phone: 978-741-4171
- Fax:
- Phone: 978-741-4171
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 068952-23 |
| License Number State | NH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN276878 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: