IndividualActive
Melody Mukon, PA
NPI 1003047481 · Medical Physician Assistant · Norwich, CT
Provider details
- NPI number
- 1003047481
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 000277 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
330 Washington St
Suite 220
Norwich, CT 06360-2700
Phone: (860) 886-8362
Fax: (860) 886-9262
Approximate (ZIP-level) locationGet directions
Mailing address
330 Washington St
Norwich, CT 06360-2700
Registry dates
- Enumerated
- 2009-08-03
- Last updated
- 2009-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.