National Provider Identifier

Melody Ann Parker, LICENSED PRACTICE NU

Melody Ann Parker, LICENSED PRACTICE NU is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Medina, NY and a listed phone number of (585) 798-0631.

NPI 1063772473Medina, NYLicensed Practical Nurse

Profile Overview

NPI
1063772473
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 18, 2012
Last Updated
May 18, 2012

Practice Location

  • 1026 Park Avenue
  • Medina, NY 14103

Phone: (585) 798-0631

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1063772473
Entity Type
Individual
Last Name
Parker
First Name
Melody
Middle Name
Ann
Name Prefix
Miss
Credential
LICENSED PRACTICE NU
Mailing Street Address
1026 Park Avenue
Mailing City
Medina
Mailing State
NY
Mailing ZIP Code
14103
Mailing Country
US
Mailing Phone
(585) 798-0631
Practice Street Address
1026 Park Avenue
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103
Practice Country
US
Practice Phone
(585) 798-0631
Enumeration Date
May 18, 2012
Last Updated
May 18, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)