Provider Demographics
NPI:1659931731
Name:WORK, MELISSA NYCOLE (AUD, MSEH)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:NYCOLE
Last Name:WORK
Suffix:
Gender:F
Credentials:AUD, MSEH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USNH GUANTANAMO BAY
Mailing Address - Street 2:PSC 1005, BOX 110185
Mailing Address - City:FPO
Mailing Address - State:AA
Mailing Address - Zip Code:34009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USNH GUANTANAMO BAY
Practice Address - Street 2:PSC 1005
Practice Address - City:FPO
Practice Address - State:AA
Practice Address - Zip Code:34009
Practice Address - Country:US
Practice Address - Phone:252-646-8509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13613231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist