Healthcare Provider Details

I. General information

NPI: 1508781501
Provider Name (Legal Business Name): MELISSA LOUISE ABBOTT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1227 SMITH TOWNSHIP STATE RD
BURGETTSTOWN PA
15021-2828
US

IV. Provider business mailing address

395 STROPE RD
BURGETTSTOWN PA
15021-9647
US

V. Phone/Fax

Practice location:
  • Phone: 724-947-2255
  • Fax: 724-947-2477
Mailing address:
  • Phone: 724-947-2255
  • Fax: 724-884-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036797
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: