Provider Demographics
NPI:1659606127
Name:SAUTER, MELISSA (RPA-C)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:SAUTER
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3256
Mailing Address - Country:US
Mailing Address - Phone:631-252-5294
Mailing Address - Fax:
Practice Address - Street 1:99 N WEST END BLVD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1180
Practice Address - Country:US
Practice Address - Phone:215-538-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013636363A00000X
PAMA062479363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant