Provider Demographics
NPI:1790874279
Name:SUMNEY, MELISSA (ACNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:SUMNEY
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-3329
Mailing Address - Country:US
Mailing Address - Phone:724-222-2577
Mailing Address - Fax:724-228-5849
Practice Address - Street 1:400 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3329
Practice Address - Country:US
Practice Address - Phone:724-222-2577
Practice Address - Fax:724-228-5849
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN95033363LA2100X
PASP009192363LA2100X, 363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care