Provider Demographics
NPI:1003856394
Name:PATERSON, MELISSA WOLSLEY (MS, CRNA)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:WOLSLEY
Last Name:PATERSON
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Gender:F
Credentials:MS, CRNA
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7956 ELLICOTT RD
Mailing Address - Street 2:
Mailing Address - City:WEST FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14170-9745
Mailing Address - Country:US
Mailing Address - Phone:716-508-8606
Mailing Address - Fax:
Practice Address - Street 1:3112 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1904
Practice Address - Country:US
Practice Address - Phone:716-650-9760
Practice Address - Fax:716-650-9622
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY457339-1367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered