Doctor Name: | MS. MELISSA POLAND |
NPI Number: | 1760830004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 30533601 |
Business Practice Address: | 713 S Juniper St Apt B Philadelphia, PA - 191472607 |
Business Phone Number: | 2674231122 |
Business Fax Number: | |
Mailing Address: | 713 S Juniper St, Apt B PHILADELPHIA |
State: | PA |
Postal Code: | 191472607 |
Phone Number: | 2674231122 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2016 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | 30533601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |