Provider Demographics
NPI:1861216343
Name:KLEMICK, MELISSA (RN, CDCES)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:KLEMICK
Suffix:
Gender:F
Credentials:RN, CDCES
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 PEARTREE WAY
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1954
Mailing Address - Country:US
Mailing Address - Phone:412-749-4252
Mailing Address - Fax:724-773-7641
Practice Address - Street 1:1 PEARTREE WAY
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1954
Practice Address - Country:US
Practice Address - Phone:412-749-4252
Practice Address - Fax:724-773-7641
Is Sole Proprietor?:No
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator