Provider Demographics
NPI:1538225180
Name:ZANLUNGHI, MELISSA D (PCNS-BC, PNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:D
Last Name:ZANLUNGHI
Suffix:
Gender:F
Credentials:PCNS-BC, PNP-BC
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:A
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PCNS-BC, PNP-BC
Mailing Address - Street 1:4333 ENGLISH MORNING LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6791
Mailing Address - Country:US
Mailing Address - Phone:410-905-0758
Mailing Address - Fax:
Practice Address - Street 1:2225 DEFENSE HIGHWAY
Practice Address - Street 2:THE PEDIATRIC GROUP
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114
Practice Address - Country:US
Practice Address - Phone:410-721-2273
Practice Address - Fax:410-721-3744
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704257601363LP0200X
MDR151754363LP0200X
CA2554364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics