Provider Demographics
NPI:1972757177
Name:ROSSETTA, MELISSA (MS, NP-C, CWCN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:ROSSETTA
Suffix:
Gender:F
Credentials:MS, NP-C, CWCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 COMMERCE WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3272
Mailing Address - Country:US
Mailing Address - Phone:617-877-4756
Mailing Address - Fax:
Practice Address - Street 1:170 COMMERCE WAY STE 200
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3272
Practice Address - Country:US
Practice Address - Phone:617-877-4756
Practice Address - Fax:978-871-2449
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN217285163WW0000X, 207QG0300X
NH065595-21163WW0000X
NH065595-23363LG0600X
MA217285363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty