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NPI Code Detail

MEDICARE: MELISSA NAGEL AS

MEDICARE: MELISSA NAGEL AS
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
12355S0801XSpeech-Language Assistant0161NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750862587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA NAGEL AS
Provider Business Mailing Address
First Line : 105 EASTERN AVE
Second Line :
City : ROCHESTER
State : NH
Zip : 03867-2007
Country : US
Telephone Number : 603-332-2848
Fax Number :
Provider Business Practice Location Address
First Line : 105 EASTERN AVE
Second Line :
City : ROCHESTER
State : NH
Zip : 03867-2007
Country : US
Telephone Number : 603-332-2848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 10/28/2019

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Directions to “ MELISSA NAGEL AS” Practice Location

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