=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487177713
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MELISSA SLODEN MCMURTRIE CRNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2017
-----------------------------------------------------
Last Update Date | 02/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1701 INNOVATION DR
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17408-8815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-231-8772
-----------------------------------------------------
Fax | 717-231-8435
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1701 INNOVATION DR
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17408-8815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-843-8623
-----------------------------------------------------
Fax | 717-862-5576
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | SP018020
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Registered Nurse
-----------------------------------------------------
License Number | RN605571
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363LG0600X
-----------------------------------------------------
Taxonomy Name | Gerontology Nurse Practitioner
-----------------------------------------------------
License Number | SP026955
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------