Provider Demographics
NPI:1144332206
Name:ZAMBETTI, MELISSA A (PA-C)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:A
Last Name:ZAMBETTI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 NORTH RIVER ST.
Mailing Address - Street 2:SUITE 240
Mailing Address - City:WILKES-BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702
Mailing Address - Country:US
Mailing Address - Phone:570-706-2620
Mailing Address - Fax:570-706-2627
Practice Address - Street 1:545 NORTH RIVER ST.
Practice Address - Street 2:SUITE 240
Practice Address - City:WILKES-BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702
Practice Address - Country:US
Practice Address - Phone:570-706-2620
Practice Address - Fax:570-706-2627
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA050848363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical