Provider Demographics
NPI:1215353057
Name:NEWTON, MELISSA (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:PLESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1931 INDUSTRIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-5482
Mailing Address - Country:US
Mailing Address - Phone:843-915-8888
Mailing Address - Fax:843-915-6502
Practice Address - Street 1:1931 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-5482
Practice Address - Country:US
Practice Address - Phone:843-915-8888
Practice Address - Fax:843-915-6502
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC51207163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health