Provider Demographics
NPI:1366904930
Name:HONG, MELISSA ELAINE N (ARNP)
Entity type:Individual
Prefix:
First Name:MELISSA ELAINE
Middle Name:N
Last Name:HONG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MELISSA ELAINE
Other - Middle Name:P
Other - Last Name:NATIVIDAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:225 GRANDVIEW AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1740
Mailing Address - Country:US
Mailing Address - Phone:717-761-4141
Mailing Address - Fax:
Practice Address - Street 1:225 GRANDVIEW AVE STE 303
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1740
Practice Address - Country:US
Practice Address - Phone:717-761-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH143954363L00000X, 363LA2100X
PASP029132363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care