Provider Demographics
NPI:1679822449
Name:DAIL, MELISSA A (ARNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:DAIL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 BEHRING WAY
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-1609
Mailing Address - Country:US
Mailing Address - Phone:561-632-5992
Mailing Address - Fax:
Practice Address - Street 1:3502 KYOTO GARDENS DR STE A
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2899
Practice Address - Country:US
Practice Address - Phone:561-776-8891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9265108363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily