Mellisa Anne Boan
Individual provider Active NPI Case Manager/Care Coordinator · Coldwater, MI
NPI 1912413485 · NPPES record last updated Dec 20, 2017
Key facts
- NPI
- 1912413485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 200 Vista Dr
Coldwater, MI 49036-1776 - Phone
- (517) 278-2129
- NPI assigned
- Dec 20, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
200 Vista Dr
Coldwater, MI 49036-1776
Mailing address
200 Vista Dr
Coldwater, MI 49036-1776
Phone (517) 278-2129
Other providers in Coldwater, MI
- Ashanti Shereney Bester
- Lita Betancourt
- Vinod K Bhandari
- Sabrina Biggs
- Cheryl Lynne Blansit
- Russell Boblet
- James R Borer
- Bosco P. Chan, D.D.S.
- Boundless Solutions Counseling LLC
- Kayla Bowerman
All providers in Coldwater, MI · Case Manager/Care Coordinator in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.