Provider Demographics
NPI:1396269155
Name:DRENNEN, MELISSA LOPER (ARNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:LOPER
Last Name:DRENNEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 49
Mailing Address - Street 2:
Mailing Address - City:HOOPER BAY
Mailing Address - State:AK
Mailing Address - Zip Code:99604-0049
Mailing Address - Country:US
Mailing Address - Phone:239-789-7197
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 49
Practice Address - Street 2:
Practice Address - City:HOOPER BAY
Practice Address - State:AK
Practice Address - Zip Code:99604-0049
Practice Address - Country:US
Practice Address - Phone:239-789-7197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF07171030363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily