Active NPIIndividual provider

Karen D Melillo

Nurse Practitioner, Gerontology in Lowell, Massachusetts

NPI Number1871101444
Practice location
113 Wilder St Ste 200, Lowell, MA 01854-3057
Fax
978-934-2015
Last updated
July 20, 2020

Karen Devereaux Melillo is a Nurse Practitioner, Gerontology based in Lowell, MA. Karen Devereaux Melillo practices in Lowell, MA. The NPI Number for Karen Devereaux Melillo is 1871101444 and holds a License No. 119120 (MA). The current practice location address for Karen Devereaux Melillo is 113 Wilder St Ste 200, Lowell, MA 01854-3057 and can be reached out via phone at 978-934-4417 and via fax at 978-934-2015.

Provider Profile Details

NPI Number
1871101444
Provider Name
Karen Devereaux Melillo
Provider Entity Type
Individual
Gender
Female
Address
113 Wilder St Ste 200, Lowell, MA 01854-3057
Phone Number
978-934-4417
Fax Number
978-934-2015
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
July 20, 2020
Last Update Date
July 20, 2020
Certification Date
July 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
113 Wilder St Ste 200
Lowell, MA 01854-3057
City
Lowell
Zip
01854-3057
Phone Number
978-934-4417
Fax Number
978-934-2015
Lowell, MA 01854Get directions →

Provider Business Mailing Address Details

Address
232 Raleigh Tavern Ln
North Andover, MA 01845-5632
City
North Andover
State
MA
Zip
01845-5632
Phone Number
978-683-3872

License Information

License Number
119120
License State
MA
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · 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 Karen D Melillo?

The NPI number of Karen D Melillo is 1871101444. It was assigned on July 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Karen D Melillo?

Karen D Melillo is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number 119120.

Where does Karen D Melillo practice?

The practice location is 113 Wilder St Ste 200, Lowell, MA 01854-3057. The office can be reached at 978-934-4417 (phone) or 978-934-2015 (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 1871101444 directly on the NPPES registry website.

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