MELISSA WITTEVEEN, PA-C
Physician Assistant
Active
Individual
NPI: 1407106057
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | PA60312120 (WA) |
| Physician Assistant | 363A00000X | Yes | PA60312120 (WA) |
Frequently Asked Questions
NPI 1407106057 is the National Provider Identifier for MELISSA WITTEVEEN, PA-C, a Physician Assistant provider located in Kodiak, AK. This NPI was enumerated on September 11, 2012.
MELISSA WITTEVEEN, PA-C practices at 1911 E REZANOF DR, Kodiak, AK 99615.
Quick Facts
- NPI
- 1407106057
- Type
- Individual
- Enumerated
- Sep 11, 2012
- Last Updated
- Jan 3, 2019
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