Melissa Marie Lane, CRNP
Nurse Practitioner, Psych/Mental Health in Stroudsburg, PA. Individual provider (NPI-1).
NPI number1336905850
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1336905850
- Entity type
- Individual (NPI-1)
- Name
- Melissa Marie Lane
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2024
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | SP029325 | PA | Yes |
Practice location
1172b W Main StStroudsburg, PA 18360-1323
Phone 570-424-6187
Mailing address
1172b W Main StStroudsburg, PA 18360-1323
Phone 570-424-6187
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