MEDICARE: MELISSA CHRISTIAN

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	163WS0200X	School Registered Nurse	L1-0050484	DE

General Provider Information

NPI Number	:	1518675040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA CHRISTIAN

Provider Business Mailing Address
First Line	:	209 TIDBURY XING
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-4758
Country	:	US
Telephone Number	:	302-222-1387
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 TIDBURY XING
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-4758
Country	:	US
Telephone Number	:	302-222-1387
Fax Number	:

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

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	11/14/2022

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Directions to “ MELISSA CHRISTIAN ” Practice Location

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