National Provider Identifier
Melissa Anne Iversen, P.A.
Melissa Anne Iversen, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Middleport, NY and a listed phone number of (716) 735-7774.
Profile Overview
- NPI
- 1679711428
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 02, 2009
- Last Updated
- August 11, 2023
Practice Location
- 21 N Main St
- Middleport, NY 14105-1027
Phone: (716) 735-7774
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1679711428
- Entity Type
- Individual
- Last Name
- Iversen
- First Name
- Melissa
- Middle Name
- Anne
- Credential
- P.A.
- Mailing Street Address
- 21 N Main St
- Mailing City
- Middleport
- Mailing State
- NY
- Mailing ZIP Code
- 14105-1027
- Mailing Country
- US
- Mailing Phone
- (716) 735-7774
- Mailing Fax
- (716) 735-3036
- Practice Street Address
- 21 N Main St
- Practice City
- Middleport
- Practice State
- NY
- Practice ZIP Code
- 14105-1027
- Practice Country
- US
- Practice Phone
- (716) 735-7774
- Practice Fax
- (716) 735-3036
- Enumeration Date
- February 02, 2009
- Last Updated
- August 11, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)