Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA ANNE IVERSEN, P.A.
ActiveMELISSA ANNE IVERSEN, P.A. is a Physician Assistant healthcare provider located in MIDDLEPORT, New York. NPI 1679711428 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MIDDLEPORT, NY
Registration Details
- NPI Number
- 1679711428
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2009 (17.538211468726 yrs)
- Last Updated
- Aug 11, 2023
- License
-
013123 (NY)
Practice Information
- Address
-
21 N MAIN STMIDDLEPORT, NY, 141051027Browse NY providers · Browse ZIP 14105
- Phone
- 7167357774
- Fax
- 7167353036
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.