Individual provider · Type 1 NPI

Mellisa Anderson, NP

Nurse Practitioner · Brooklyn, NY

NPI number 1205378221 Active

Practice location

10 Plaza St E Ste 1E
Brooklyn, NY 11238-4952

Call (347) 564-3211 Map

Fax (347) 710-1959

Mailing address

10 Callaway Dr
Monroe, NY 10950-3055

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	341016 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205378221

Mellisa Anderson, NP's National Provider Identifier is 1205378221, issued on Nov 8, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 30, 2026.