| Doctor Name: | MICHELLE MELVILLE |
| NPI Number: | 1053427062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | TP005569D |
| Business Practice Address: | 125 N Enola Dr Ste 101 Enola, PA - 170252532 |
| Business Phone Number: | 7177327171 |
| Business Fax Number: | |
| Mailing Address: | 1705 Mountain View Rd, HARRISBURG |
| State: | PA |
| Postal Code: | 171103233 |
| Phone Number: | 7174332455 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2006 |
| NPI Last Update Date: | 08/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | TP005569D |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |