Provider Demographics
NPI:1982428603
Name:PITTER-CHAMBERLAIN, MELISSA LOTTOY (ARNP-PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LOTTOY
Last Name:PITTER-CHAMBERLAIN
Suffix:
Gender:F
Credentials:ARNP-PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7510 LASALLE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4757
Mailing Address - Country:US
Mailing Address - Phone:954-347-8458
Mailing Address - Fax:
Practice Address - Street 1:7510 LASALLE BLVD
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-4757
Practice Address - Country:US
Practice Address - Phone:954-347-8458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11035598363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health