Provider Demographics
NPI:1528214368
Name:HULL, MELISSA A (RN)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:A
Last Name:HULL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:A
Other - Last Name:BREMNER
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:820 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12182-2118
Mailing Address - Country:US
Mailing Address - Phone:518-237-2700
Mailing Address - Fax:518-237-2708
Practice Address - Street 1:820 5TH AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12182-2118
Practice Address - Country:US
Practice Address - Phone:518-237-2700
Practice Address - Fax:518-237-2708
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY369945163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health