Provider Demographics
NPI:1750046132
Name:LOVERIDGE, MELISSA KIRSTEN (PA-C)
Entity Type:Individual
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First Name:MELISSA
Middle Name:KIRSTEN
Last Name:LOVERIDGE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:162 W NORRIS ST APT 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-2435
Mailing Address - Country:US
Mailing Address - Phone:517-282-0800
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3902
Practice Address - Country:US
Practice Address - Phone:610-447-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant