MEDICARE: MELISSA MARIE BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	124579	WV

General Provider Information

NPI Number	:	1336006998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARIE BROWN

Provider Business Mailing Address
First Line	:	155 HEALTH CARE LN
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-4008
Country	:	US
Telephone Number	:	304-596-5142
Fax Number	:	304-596-5143

Provider Business Practice Location Address
First Line	:	155 HEALTH CARE LN
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-4008
Country	:	US
Telephone Number	:	304-596-5142
Fax Number	:	304-596-5143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ MELISSA MARIE BROWN ” Practice Location

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