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Contact Information

NICOLE E MELOGRANA, PA-C
621 RIDGELY AVE
SUITE 201
ANNAPOLIS, MD21401
 Phone: 410-224-4404
 Fax: 410-224-2675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NICOLE E MELOGRANA · (Female)

NPI # 1740573864
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/23/2011
Last updated 05/23/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # C0002638
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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