National Provider Identifier
Melissa M Wisniewski, NP
Melissa M Wisniewski, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 675-0616.
Profile Overview
- NPI
- 1235836115
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 13, 2023
- Last Updated
- September 26, 2024
Practice Location
- 3075 Southwestern Blvd Ste 102
- Orchard Park, NY 14127-1236
Phone: (716) 675-0616
Mailing Address
- 3041 Orchard Park RD
- Ste C
- Orchard Park, NY 14127-1238
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1235836115
- Entity Type
- Individual
- Last Name
- Wisniewski
- First Name
- Melissa
- Middle Name
- M
- Credential
- NP
- Mailing Street Address
- 3041 Orchard Park RD
- Mailing Address Line 2
- Ste C
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1238
- Mailing Country
- US
- Mailing Phone
- (716) 674-3104
- Mailing Fax
- (716) 674-0666
- Practice Street Address
- 3075 Southwestern Blvd Ste 102
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1236
- Practice Country
- US
- Practice Phone
- (716) 675-0616
- Practice Fax
- (716) 675-7101
- Enumeration Date
- February 13, 2023
- Last Updated
- September 26, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 07617256 (NY)