Provider Demographics
NPI:1992188072
Name:NESIN, MELANIE J
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:J
Last Name:NESIN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:J
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:55 PEA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:ME
Mailing Address - Zip Code:04457-5531
Mailing Address - Country:US
Mailing Address - Phone:207-794-2706
Mailing Address - Fax:207-794-2038
Practice Address - Street 1:55 PEA RIDGE RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:ME
Practice Address - Zip Code:04457-5531
Practice Address - Country:US
Practice Address - Phone:207-794-2706
Practice Address - Fax:207-794-2038
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEVT866174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian