Provider Demographics
NPI:1144954884
Name:CAMINITI, MELISSA JO (RN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:JO
Last Name:CAMINITI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 SPEARS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:WEST GARDINER
Mailing Address - State:ME
Mailing Address - Zip Code:04345-3511
Mailing Address - Country:US
Mailing Address - Phone:207-778-1266
Mailing Address - Fax:
Practice Address - Street 1:151 CAPITOL ST STE 4
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6262
Practice Address - Country:US
Practice Address - Phone:207-512-8545
Practice Address - Fax:207-512-8552
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MERN61309163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice