Provider Demographics
NPI:1679236699
Name:POSEY, MELISSA G (CRNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:G
Last Name:POSEY
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 1:25910 CANAL RD STE D
Mailing Address - Street 2:
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-5016
Mailing Address - Country:US
Mailing Address - Phone:251-974-2273
Mailing Address - Fax:
Practice Address - Street 1:25910 CANAL RD STE D
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-5016
Practice Address - Country:US
Practice Address - Phone:251-974-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-17
Last Update Date:2021-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-136942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily