| Doctor Name: | MELISSA MICHAEL |
| NPI Number: | 1265702195 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP011813 |
| Business Practice Address: | 30 Pinnacle Dr Suite 301 Clarion, PA - 162143876 |
| Business Phone Number: | 8142261820 |
| Business Fax Number: | 8142261824 |
| Mailing Address: | 121 Doctors Ln, CLARION |
| State: | PA |
| Postal Code: | 162148515 |
| Phone Number: | 8142263470 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2012 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP011813 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |