Provider Demographics
NPI:1407492143
Name:BELTRE, MELISSA YVETTE (APRN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:YVETTE
Last Name:BELTRE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2866 MIDDLETON CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-5617
Mailing Address - Country:US
Mailing Address - Phone:321-439-9330
Mailing Address - Fax:
Practice Address - Street 1:11317 LAKE UNDERHILL RD STE 400
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4452
Practice Address - Country:US
Practice Address - Phone:407-499-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004611363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner