Provider Demographics
NPI:1508304874
Name:PULSIFER, MELLISSA (CPM, LM)
Entity Type:Individual
Prefix:
First Name:MELLISSA
Middle Name:
Last Name:PULSIFER
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 BETHEL POINT RD
Mailing Address - Street 2:
Mailing Address - City:HARPSWELL
Mailing Address - State:ME
Mailing Address - Zip Code:04079-4401
Mailing Address - Country:US
Mailing Address - Phone:207-751-8176
Mailing Address - Fax:207-480-7300
Practice Address - Street 1:109 BETHEL POINT RD
Practice Address - Street 2:
Practice Address - City:HARPSWELL
Practice Address - State:ME
Practice Address - Zip Code:04079-4401
Practice Address - Country:US
Practice Address - Phone:207-751-8176
Practice Address - Fax:207-480-7300
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X
MECPM659176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife