Provider Demographics
NPI:1649500976
Name:MARCHAND, MELISSA NOELLE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:NOELLE
Last Name:MARCHAND
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5850 CORAL RIDGE DRIVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-1617
Mailing Address - Country:US
Mailing Address - Phone:954-714-2800
Mailing Address - Fax:954-840-2626
Practice Address - Street 1:5850 CORAL RIDGE DRIVE
Practice Address - Street 2:SUITE 106
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-1617
Practice Address - Country:US
Practice Address - Phone:954-714-2800
Practice Address - Fax:954-840-2626
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2011-11-03
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Provider Licenses
StateLicense IDTaxonomies
FLPA9104896363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant