Provider Demographics
NPI:1457671950
Name:BEAUCHEMIN, MELISSA PARSONS (RN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:PARSONS
Last Name:BEAUCHEMIN
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
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Mailing Address - Street 1:161 FORT WASHINGTON AVE
Mailing Address - Street 2:IP-7
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3729
Mailing Address - Country:US
Mailing Address - Phone:212-305-6254
Mailing Address - Fax:212-305-5848
Practice Address - Street 1:161 FORT WASHINGTON AVE
Practice Address - Street 2:IP-7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3729
Practice Address - Country:US
Practice Address - Phone:212-305-6254
Practice Address - Fax:212-305-5848
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY382118363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics