Provider Demographics
NPI:1033643358
Name:ESSAHER, MELANIE (LPN)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:ESSAHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 EARLVILLE RD
Mailing Address - Street 2:APT C
Mailing Address - City:EARLVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13332-3600
Mailing Address - Country:US
Mailing Address - Phone:315-750-2546
Mailing Address - Fax:
Practice Address - Street 1:1232 EARLVILLE RD
Practice Address - Street 2:
Practice Address - City:EARLVILLE
Practice Address - State:NY
Practice Address - Zip Code:13332-3600
Practice Address - Country:US
Practice Address - Phone:315-750-2546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296194164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse