Provider Demographics
NPI:1538333836
Name:SCHUFT, MELISSA RAE (PNP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:RAE
Last Name:SCHUFT
Suffix:
Gender:F
Credentials:PNP
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Mailing Address - Street 1:147 MILK ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:617-559-8239
Mailing Address - Fax:617-421-3487
Practice Address - Street 1:228 BILLERICA RD
Practice Address - Street 2:PEDIATRIC URGENT CARE
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3604
Practice Address - Country:US
Practice Address - Phone:978-250-6300
Practice Address - Fax:978-250-6335
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2011-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA250372363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics