Provider Demographics
NPI:1528610334
Name:COLAROSSI, MELISSA (CRNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:COLAROSSI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-1733
Mailing Address - Country:US
Mailing Address - Phone:570-253-8221
Mailing Address - Fax:
Practice Address - Street 1:507 HIGH ST
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-1733
Practice Address - Country:US
Practice Address - Phone:570-253-8221
Practice Address - Fax:570-253-8222
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020420363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner