Provider Demographics
NPI:1497025738
Name:RITTENHOUSE, MELINDA MAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:MAY
Last Name:RITTENHOUSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-1139
Mailing Address - Country:US
Mailing Address - Phone:585-335-4030
Mailing Address - Fax:585-335-4038
Practice Address - Street 1:254 MAIN ST
Practice Address - Street 2:
Practice Address - City:DANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14437-1139
Practice Address - Country:US
Practice Address - Phone:585-335-4030
Practice Address - Fax:585-335-4038
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY576886163WE0003X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163WE0003XNursing Service ProvidersRegistered NurseEmergency