Provider Demographics
NPI:1528391596
Name:FITZPATRICK, MELISSA KAY (ARNP, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:KAY
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:KAY
Other - Last Name:WILDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:UK DIVISION OF PULMONARY
Mailing Address - Street 2:740 S. LIMESTONE, L543 KY CLINIC
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-323-9555
Mailing Address - Fax:859-323-9286
Practice Address - Street 1:UK DIVISION OF PULMONARY
Practice Address - Street 2:740 S. LIMESTONE, L543 KY CLINIC
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-323-9555
Practice Address - Fax:859-323-9286
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006164363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily