Provider Demographics
NPI:1760552392
Name:ALBERT, MELISSA CARRIE (PA-C)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:CARRIE
Last Name:ALBERT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:CARRIE
Other - Last Name:DRANKO; BOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:1200 BROOKS LN
Mailing Address - Street 2:SUITE 150
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3747
Mailing Address - Country:US
Mailing Address - Phone:412-469-7110
Mailing Address - Fax:
Practice Address - Street 1:1200 BROOKS LN
Practice Address - Street 2:SUITE 150
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025
Practice Address - Country:US
Practice Address - Phone:412-469-7110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052653363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant