Provider Demographics
NPI:1699044107
Name:FESER, MELONY L (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:MELONY
Middle Name:L
Last Name:FESER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:MELONY
Other - Middle Name:BLODGETT
Other - Last Name:FESER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:620 MARAUDER DR.
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048
Mailing Address - Country:US
Mailing Address - Phone:716-366-9300
Mailing Address - Fax:716-366-0565
Practice Address - Street 1:742 LAMPHERE ST
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048
Practice Address - Country:US
Practice Address - Phone:716-366-9300
Practice Address - Fax:716-366-0565
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY323293-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool