Healthcare Provider Details

I. General information

NPI: 1124214747
Provider Name (Legal Business Name): MONICA L MELO MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1259 S CEDAR CREST BLVD SUITE 301
ALLENTOWN PA
18103-6372
US

IV. Provider business mailing address

1259 S CEDAR CREST BLVD SUITE 301
ALLENTOWN PA
18103-6372
US

V. Phone/Fax

Practice location:
  • Phone: 610-439-0372
  • Fax: 610-439-8807
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberRN336271L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: