Provider Demographics
NPI:1851542401
Name:DIPERNA, MELANIE MCGEE (PA-C)
Entity Type:Individual
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First Name:MELANIE
Middle Name:MCGEE
Last Name:DIPERNA
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4131 OREGON PIKE
Mailing Address - Street 2:SUITE C
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-9550
Mailing Address - Country:US
Mailing Address - Phone:717-859-5161
Mailing Address - Fax:717-859-5169
Practice Address - Street 1:227 GRANITE RUN DR
Practice Address - Street 2:SUITE 110
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6813
Practice Address - Country:US
Practice Address - Phone:717-560-5156
Practice Address - Fax:717-560-5165
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2015-05-27
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Provider Licenses
StateLicense IDTaxonomies
PAMA053600363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA139608Medicare PIN