Healthcare Provider Details

I. General information

NPI: 1326951476
Provider Name (Legal Business Name): EMILY MELOY
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 ERIN DR
DANVILLE PA
17821-8410
US

IV. Provider business mailing address

140 ERIN DR
DANVILLE PA
17821-8410
US

V. Phone/Fax

Practice location:
  • Phone: 570-854-5320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA068313
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: