Doctor Name: | DR. MELISSA SCOLLAN-KOLIOPOULOS |
NPI Number: | 1285774554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD, APRN, CDE |
License Number: | NC107183 |
Business Practice Address: | 62 Cheshire Ln Ringwood, NJ - 074562743 |
Business Phone Number: | 9735707351 |
Business Fax Number: | |
Mailing Address: | 62 Cheshire Ln, RINGWOOD |
State: | NJ |
Postal Code: | 074562743 |
Phone Number: | 9735707351 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC1500X |
License Number: | NC107183 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |