National Provider Identifier

Melissa Michelle Grummons, RN

Melissa Michelle Grummons, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Newark, NY and a listed phone number of (315) 589-2200.

NPI 1598424434Newark, NYRegistered Nurse

Profile Overview

NPI
1598424434
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
December 08, 2021
Last Updated
December 08, 2021

Practice Location

  • 131 Drumlin Ct
  • Newark, NY 14513-1863

Phone: (315) 589-2200

Mailing Address

  • 56 Spring St
  • Geneva, NY 14456-2725

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1598424434
Entity Type
Individual
Last Name
Grummons
First Name
Melissa
Middle Name
Michelle
Credential
RN
Mailing Street Address
56 Spring St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-2725
Mailing Country
US
Mailing Phone
(315) 719-6539
Practice Street Address
131 Drumlin Ct
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1863
Practice Country
US
Practice Phone
(315) 589-2200
Enumeration Date
December 08, 2021
Last Updated
December 08, 2021
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
December 08, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)