Provider Demographics
NPI:1467031633
Name:HANRAHAN, MELANIE LYNN (RN)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:LYNN
Last Name:HANRAHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:L
Other - Last Name:NEWSOME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:35 GOODHUE ST
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:NY
Mailing Address - Zip Code:14801-1033
Mailing Address - Country:US
Mailing Address - Phone:607-438-9675
Mailing Address - Fax:
Practice Address - Street 1:35 GOODHUE ST
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:NY
Practice Address - Zip Code:14801-1033
Practice Address - Country:US
Practice Address - Phone:607-438-9675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335055163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health