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Contact Information

MELISSA ANDERSON, PMHNP-BC
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH45433
 Phone: 937-257-6877
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MELISSA ANDERSON · (Female)

NPI Number 1134740624
Status Active
Credentials PMHNP-BC (Adult Psychiatric-Mental Health Nurse Practitioner)
Entity Individual
Enumeration date 05/06/2020
Last updated 08/13/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IA License # G170093
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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