Provider Demographics
NPI:1396974887
Name:FERREBEE, MELISSA ROBERTSON (RN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ROBERTSON
Last Name:FERREBEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 CHOIRLOFT DR
Mailing Address - Street 2:
Mailing Address - City:BUNKER HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25413-2839
Mailing Address - Country:US
Mailing Address - Phone:304-229-1623
Mailing Address - Fax:
Practice Address - Street 1:270 CUMBO RD
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25403-2363
Practice Address - Country:US
Practice Address - Phone:304-754-7921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV67154163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator