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NPI Code Detail

MEDICARE: MELISSA M. LEES APRN, FNP-BC

MEDICARE: MELISSA M. LEES APRN, FNP-BC
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
1363LF0000XFamily Nurse PractitionerAPRN78413-FNP-BCWV

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 : 1790264554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA M. LEES APRN, FNP-BC
Provider Business Mailing Address
First Line : 210 BROOKS ST STE 200
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-1848
Country : US
Telephone Number : 304-388-1930
Fax Number : 304-388-1929
Provider Business Practice Location Address
First Line : 210 BROOKS ST STE 200
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-1848
Country : US
Telephone Number : 304-388-1930
Fax Number : 304-388-1929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2018
Last Update Date : 09/19/2018

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