Active NPIIndividual provider

Mrs. Melissa M Provost, FNP-BC

Nurse Practitioner, Family in Mount Kisco, New York

NPI Number1245560242
Practice location
30 W Main St, Mount Kisco, NY 10549-1910
Fax
914-941-8626
Last updated
September 23, 2019

Melissa Marie Bennett Provost is a Nurse Practitioner, Family based in Mount Kisco, NY. Melissa Marie Bennett Provost practices in Mount Kisco, NY and has the professional credentials of FNP-BC. The NPI Number for Melissa Marie Bennett Provost is 1245560242 and holds a License No. 605446 (NY). The current practice location address for Melissa Marie Bennett Provost is 30 W Main St, Mount Kisco, NY 10549-1910 and can be reached out via phone at 914-666-3272 and via fax at 914-941-8626.

Provider Profile Details

NPI Number
1245560242
Provider Name
Melissa Marie Bennett Provost
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
30 W Main St, Mount Kisco, NY 10549-1910
Phone Number
914-666-3272
Fax Number
914-941-8626
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
-- Melissa Marie Bennett (Former Name)
Provider Enumeration Date
January 13, 2010
Last Update Date
September 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 W Main St
Mount Kisco, NY 10549-1910
Zip
10549-1910
Phone Number
914-666-3272
Fax Number
914-941-8626
Mount Kisco, NY 10549Get directions →

Provider Business Mailing Address Details

Address
165 Main St
Ossining, NY 10562-4702
City
Ossining
State
NY
Zip
10562-4702
Phone Number
914-941-1263
Fax Number
914-941-8626

License Information

License Number (1)
605446
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
336151
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Melissa M Provost, FNP-BC?

The NPI number of Mrs. Melissa M Provost, FNP-BC is 1245560242. It was assigned on January 13, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melissa M Provost, FNP-BC?

Mrs. Melissa M Provost, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 605446.

Where does Mrs. Melissa M Provost, FNP-BC practice?

The practice location is 30 W Main St, Mount Kisco, NY 10549-1910. The office can be reached at 914-666-3272 (phone) or 914-941-8626 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245560242 directly on the NPPES registry website.

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