Provider Demographics
NPI:1538192752
Name:MELFA, MARGARET ANN (CRNP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:MELFA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 WINE SPRING LN
Mailing Address - Street 2:
Mailing Address - City:RUXTON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-3664
Mailing Address - Country:US
Mailing Address - Phone:410-828-8060
Mailing Address - Fax:
Practice Address - Street 1:8000 YORK RD
Practice Address - Street 2:DOWELL HEALTH CENTER
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21252-0001
Practice Address - Country:US
Practice Address - Phone:410-704-2466
Practice Address - Fax:410-704-3715
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR046167363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health