Provider Demographics
NPI:1487868782
Name:FRANK, MELISSA (ARNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11406
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4005
Mailing Address - Country:US
Mailing Address - Phone:321-752-4100
Mailing Address - Fax:321-752-0307
Practice Address - Street 1:8075 SPYGLASS HILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8281
Practice Address - Country:US
Practice Address - Phone:321-752-4100
Practice Address - Fax:321-752-0307
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-083044363LA2200X
FLARNP9404592363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLII684ZMedicare PIN