Individual provider · Type 1 NPI
Lisa Melville, NURSE PRACTITIONER
Nurse Practitioner · Providence, RI
Practice location
2 Dudley St, Suite 470
Providence, RI 02905-3236
Fax (401) 868-2300
Mailing address
PO Box 16149
Rumford, RI 02916-0697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 206157 (MA) |
| Nurse Practitioner Primary | 363L00000X | NPP37658 (RI) |
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 1790804433
Lisa Melville, NURSE PRACTITIONER's National Provider Identifier is 1790804433, issued on Mar 27, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Providence, RI. The record was last updated on Jan 9, 2012.