Provider Demographics
NPI:1992530158
Name:WINCH, MELISSA PAGE (DNP, BSC, FNP-C, RN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:PAGE
Last Name:WINCH
Suffix:
Gender:F
Credentials:DNP, BSC, FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 NW 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1836
Mailing Address - Country:US
Mailing Address - Phone:305-731-4488
Mailing Address - Fax:
Practice Address - Street 1:1600 NW 34TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1836
Practice Address - Country:US
Practice Address - Phone:305-731-4488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11035113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily