National Provider Identifier

Melissa Lee Bremer, NP

Melissa Lee Bremer, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Phelps, NY and a listed phone number of (315) 945-8892.

NPI 1639662026Phelps, NYFamily Nurse Practitioner

Profile Overview

NPI
1639662026
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 11, 2018
Last Updated
April 09, 2024

Practice Location

  • 1044 McIvor Road
  • Phelps, NY 14532

Phone: (315) 945-8892

Mailing Address

  • 2 Coulter RD Ste 1720
  • Clifton Springs, NY 14432-1122

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1639662026
Entity Type
Individual
Last Name
Bremer
First Name
Melissa
Middle Name
Lee
Credential
NP
Mailing Street Address
2 Coulter RD Ste 1720
Mailing City
Clifton Springs
Mailing State
NY
Mailing ZIP Code
14432-1122
Mailing Country
US
Mailing Phone
(315) 945-8892
Practice Street Address
1044 McIvor Road
Practice City
Phelps
Practice State
NY
Practice ZIP Code
14532
Practice Country
US
Practice Phone
(315) 945-8892
Enumeration Date
June 11, 2018
Last Updated
April 09, 2024
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
January 22, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)