Provider Demographics
NPI:1811720667
Name:GAUDET, MELISA P (CRNP)
Entity type:Individual
Prefix:
First Name:MELISA
Middle Name:P
Last Name:GAUDET
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1532 PARK AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1048
Mailing Address - Country:US
Mailing Address - Phone:267-424-8100
Mailing Address - Fax:866-797-5370
Practice Address - Street 1:1532 PARK AVE STE 105
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1048
Practice Address - Country:US
Practice Address - Phone:267-424-8100
Practice Address - Fax:866-797-5370
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP030436363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner