Individual provider · Type 1 NPI
Melissa Kate Fraher
Pediatric Nurse Practitioner · New Haven, CT
NPI number
1124470299
Active
Practice location
1 Park St
New Haven, CT 06504-8901
Mailing address
12 Chestnut Knoll Dr
Sandy Hook, CT 06482-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 702194 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 7019 (CT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1124470299
Melissa Kate Fraher's National Provider Identifier is 1124470299, issued on Jul 12, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Haven, CT. The record was last updated on Mar 9, 2022.