Individual provider · Type 1 NPI

Melanie Moreno, PA-C

Physician Assistant · South Windsor, CT

NPI number 1972313039 Active

Practice location

2400 Tamarack Ave Ste 101
South Windsor, CT 06074-5556

Mailing address

10 Wedgewood Dr Apt A6
Bloomfield, CT 06002-1936

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7548 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972313039

Melanie Moreno, PA-C's National Provider Identifier is 1972313039, issued on Jan 10, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Windsor, CT. The record was last updated on Feb 9, 2026.