Provider Demographics
NPI:1073948055
Name:ARMSTRONG, MELODEE (RN, CNS, FNP, MS)
Entity Type:Individual
Prefix:MS
First Name:MELODEE
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RN, CNS, FNP, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 CARROLL PL APT 4G
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-5710
Mailing Address - Country:US
Mailing Address - Phone:718-536-8475
Mailing Address - Fax:
Practice Address - Street 1:1064 CARROLL PL APT 4G
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-5710
Practice Address - Country:US
Practice Address - Phone:718-536-8475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY496169163W00000X, 163WC1600X, 163WG0600X, 376K00000X, 163WI0600X, 163WX0106X, 373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No376K00000XNursing Service Related ProvidersNurse's Aide
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist