Provider Information for 1568869931
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. MELISSA MCVAN MS
Sex: Female
NPI: 1568869931
Last Updated: 2017-12-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568869931 | ||||||||
| Enumeration Date | 2014-12-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1639 FORUM PL STE 7 WEST PALM BEACH, FL 33401-2330 United States Phone: 561-712-8821 | Fax:561-712-8070 | ||||||||
| Primary Practice Address | 1639 FORUM PL STE 7 WEST PALM BEACH, FL 33401-2330 United States Phone: 561-712-8821 | Fax:561-712-8070 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|