MEDICARE: MELISSA JOY WEISS ARNP

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	363LF0000X	Family Nurse Practitioner	ARNP9196983	FL

General Provider Information

NPI Number	:	1427291103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA JOY WEISS ARNP

Provider Business Mailing Address
First Line	:	1329 PATIO TER
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-4944
Country	:	US
Telephone Number	:	941-623-8929
Fax Number	:

Provider Business Practice Location Address
First Line	:	1329 PATIO TER
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-4944
Country	:	US
Telephone Number	:	941-623-8929
Fax Number	:

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

Provider Enumeration Date	:	04/11/2009
Last Update Date	:	06/06/2012

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