Provider Demographics
NPI:1275303430
Name:FRATANGELO, MELISSA ANN (MSED)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:FRATANGELO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 YORK DR APT B
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15214-1121
Mailing Address - Country:US
Mailing Address - Phone:412-480-8391
Mailing Address - Fax:
Practice Address - Street 1:1229 SILVER LN
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1007
Practice Address - Country:US
Practice Address - Phone:412-353-3459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator