Provider Demographics
NPI:1972757177
Name:ROSSETTA, MELISSA ANNE (BSN,MS, AGNP-C, CWCN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:ROSSETTA
Suffix:
Gender:
Credentials:BSN,MS, AGNP-C, CWCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338R GRAPEVINE RD
Mailing Address - Street 2:
Mailing Address - City:WENHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01984-1816
Mailing Address - Country:US
Mailing Address - Phone:617-877-4756
Mailing Address - Fax:978-969-1301
Practice Address - Street 1:338R GRAPEVINE RD
Practice Address - Street 2:
Practice Address - City:WENHAM
Practice Address - State:MA
Practice Address - Zip Code:01984-1816
Practice Address - Country:US
Practice Address - Phone:617-877-4756
Practice Address - Fax:978-969-1301
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN217285363LG0600X
NH06559523363LG0600X
NH065595-21163WW0000X
NH065595-23363LG0600X
MA217285363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WW0000XNursing Service ProvidersRegistered NurseWound Care