MRS. MELISSA MARIE PRUNER (NPI# 1346624152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346624152 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA MARIE PRUNER |
| Other Name | MISS MELISSA MARIE WITWER |
| Credential | PA-C |
| Practice Address |
120 S Tan Street Suite 1 Fredericksburg PA 17026-0009 |
| Mailing Address |
409 S 2nd St Ste 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7178656644 |
| Mailing Telephone | 7178656644 |
| Mailing Fax Number | 7178655666 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA057661 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 S TAN STREET SUITE 1 |
| City | FREDERICKSBURG |
| State | PA |
| Zip Code | 17026-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877234 | Healthstat Health Center Bell & Evans Plant 2 | Preventive Medicine | 2929 Us 22, Fredericksburg, PA 17026 | 2020-10-06 |
| 1073995312 | Jeremy David Stevens | Student in an Organized Health Care Education/Training Program | 345 School Dr, Fredericksburg, PA 17026 | 2015-06-23 |
| 1164826939 | Jennifer Ransil | Marriage & Family Therapist | 122 S. Tan Ally, Fredericksburg, PA 17026 | 2014-10-22 |
| 1154586493 | Fredericksburg Community Health Center, P.C. | Non-Pharmacy Dispensing Site | Tan & Chestnut St, Box 9, Fredericksburg, PA 17026 | 2008-07-25 |
| 1376645507 | Fredericksburg Dental Center, LLC | Dentist | 120 South Tan Street, Fredericksburg, PA 17026 | 2006-09-01 |
| 1215927322 | Fredericksburg Community Health Center PC | Family Medicine | 120 S. Tan St., Suite 1, Fredericksburg, PA 17026 | 2005-10-28 |
| 1649626094 | Zachary Zerbe | Contractor | 345 School Dr, Fredericksburg, PA 17026 | 2016-05-04 |
| 1154462539 | Andrew Thomas Stewart | Dentist | 120 South Tan Street, Fredericksburg, PA 17026 | 2007-02-09 |
| 1235270919 | Daniel Francis Martel | Dentist | 120 South Tan Street, Fredericksburg, PA 17026 | 2007-02-08 |
| 1881656023 | Carol D Sears | Family Medicine | 120 S. Tan St., Suite 1, Fredericksburg Community Health Center PC, Fredericksburg, PA 17026-0009 | 2006-04-04 |
| Find all providers in zip 17026 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548516149 | Michele Renae Rhoe | Physician Assistant | 1985 Jefferson Davis Highway, Fredericksburg, VA 22401 | 2012-08-01 |
| 1790910008 | Jovanna Rose Mickie | Physician Assistant | 1001 Sam Perry, Fredericksburg, VA 22408-1822 | 2009-05-16 |
| 1902416605 | Jenna Elizabeth Chapman | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2020-08-06 |
| 1144843095 | Paul James Kinkead | Physician Assistant | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2020-05-27 |
| 1538700216 | Hanna Ouellette | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2019-10-03 |
| 1841799939 | Sean R Bodin | Physician Assistant | 125 Olde Greenwich Dr Ste 300, Fredericksburg, VA 22408-4008 | 2018-02-05 |
| 1669982898 | Benjamin C Garrison II | Physician Assistant | 125 Olde Greenwich Dr Ste 300, Fredericksburg, VA 22408-4008 | 2017-10-02 |
| 1558899906 | Sean Christopher Ober | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2017-05-30 |
| 1427400241 | Patrick Edward Ober | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2016-07-05 |
| 1841648037 | Rebecca Silverstein | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2016-05-27 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 17026 |
Please comment or provide details below to improve the information on MRS. MELISSA MARIE PRUNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.