Provider Demographics
NPI:1669813093
Name:WOOD, MELANIE L (CRNP)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:L
Last Name:WOOD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 PEMBERTON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-1947
Mailing Address - Country:US
Mailing Address - Phone:412-849-2899
Mailing Address - Fax:
Practice Address - Street 1:3811 O'HARA STREET
Practice Address - Street 2:WESTERN PSYCHIATRIC INSTITUE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:12513
Practice Address - Country:US
Practice Address - Phone:412-246-6652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011043363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily