Provider Demographics
NPI:1952752438
Name:FELIZ, MELISSA ERICA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ERICA
Last Name:FELIZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 WASHINGTON ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2535
Mailing Address - Country:US
Mailing Address - Phone:617-935-3119
Mailing Address - Fax:
Practice Address - Street 1:495 WASHINGTON ST APT 4
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2535
Practice Address - Country:US
Practice Address - Phone:617-935-3119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2276631163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health