National Provider Identifier

Melinda Rose Pendergast, BSN RN

Melinda Rose Pendergast, BSN RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Watkins Glen, NY and a listed phone number of (607) 535-8140.

NPI 1730493446Watkins Glen, NYRegistered Nurse

Profile Overview

NPI
1730493446
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
August 05, 2010
Last Updated
August 05, 2010

Practice Location

  • 106 S Perry St
  • Watkins Glen, NY 14891-1615

Phone: (607) 535-8140

Mailing Address

  • 221 W Church St
  • Elmira, NY 14901-2749

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1730493446
Entity Type
Individual
Last Name
Pendergast
First Name
Melinda
Middle Name
Rose
Name Prefix
Mrs.
Credential
BSN RN
Mailing Street Address
221 W Church St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2749
Mailing Country
US
Mailing Phone
(607) 734-3646
Practice Street Address
106 S Perry St
Practice City
Watkins Glen
Practice State
NY
Practice ZIP Code
14891-1615
Practice Country
US
Practice Phone
(607) 535-8140
Enumeration Date
August 05, 2010
Last Updated
August 05, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)