National Provider Identifier

Mellisa A Gardner, LPN

Mellisa A Gardner, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Belmont, NY and a listed phone number of (585) 268-7240.

NPI 1689909715Belmont, NYLicensed Practical Nurse

Profile Overview

NPI
1689909715
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 07, 2009
Last Updated
October 07, 2009

Practice Location

  • 4638 Nobles RD
  • Belmont, NY 14813-9722

Phone: (585) 268-7240

Mailing Address

  • 4317 Moss Brook RD
  • Friendship, NY 14739-8858

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1689909715
Entity Type
Individual
Last Name
Gardner
First Name
Mellisa
Middle Name
A
Credential
LPN
Mailing Street Address
4317 Moss Brook RD
Mailing City
Friendship
Mailing State
NY
Mailing ZIP Code
14739-8858
Mailing Country
US
Mailing Phone
(716) 380-7008
Practice Street Address
4638 Nobles RD
Practice City
Belmont
Practice State
NY
Practice ZIP Code
14813-9722
Practice Country
US
Practice Phone
(585) 268-7240
Practice Fax
(585) 593-3336
Enumeration Date
October 07, 2009
Last Updated
October 07, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)