Individual provider · Type 1 NPI
Melissa Marie Pruner, PA-C
Medical Physician Assistant · Fredericksburg, PA
NPI number
1346624152
Active
Practice location
120 S Tan Street, Suite 1
Fredericksburg, PA 17026-0009
Mailing address
409 S 2nd St Ste 2F
Harrisburg, PA 17104-1612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA057661 (PA) |
Medical Physician Assistant: Definition to come...
About NPI 1346624152
Melissa Marie Pruner, PA-C's National Provider Identifier is 1346624152, issued on Jul 13, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fredericksburg, PA. The record was last updated on Jan 29, 2021.