Provider Demographics
NPI:1326078767
Name:RANCK, MELANI ANNE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:MELANI
Middle Name:ANNE
Last Name:RANCK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MELANI
Other - Middle Name:ANNE
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6400
Mailing Address - Fax:717-851-6410
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-4005
Practice Address - Fax:717-812-2495
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP004054B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA131474OtherJOHNS HOPKINS
PA1934201OtherHIGHMARK BLUE SHIELD
PA1551695OtherGATEWAY-WMG
MD645241OtherCAREFIRST MD BCBS
PA204979FLTMedicare PIN
PA1551695OtherGATEWAY-WMG
PA131474OtherJOHNS HOPKINS
Q42932Medicare UPIN