Provider Demographics
NPI:1386430874
Name:AYMER, MELESIA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MELESIA
Middle Name:
Last Name:AYMER
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6179 BEAR CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6825
Mailing Address - Country:US
Mailing Address - Phone:954-648-1033
Mailing Address - Fax:
Practice Address - Street 1:6179 BEAR CREEK CT
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-6825
Practice Address - Country:US
Practice Address - Phone:954-648-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10038935363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health