Provider Demographics
NPI:1124484357
Name:NESPRIDO, MELANIE MF (APRN FNP)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:MF
Last Name:NESPRIDO
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:60 WESTWOOD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-2460
Mailing Address - Country:US
Mailing Address - Phone:203-573-1425
Mailing Address - Fax:203-573-8236
Practice Address - Street 1:60 WESTWOOD AVE STE 100
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-2460
Practice Address - Country:US
Practice Address - Phone:203-573-1425
Practice Address - Fax:203-573-8236
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily