Provider Demographics
NPI:1710295100
Name:KUNZ, MELISSA J (BSN, RN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:J
Last Name:KUNZ
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 NEW LINDEN HILL RD
Mailing Address - Street 2:RED CLAY CONSOLIDATED SCHOOL DISTRICT
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-2930
Mailing Address - Country:US
Mailing Address - Phone:302-552-3797
Mailing Address - Fax:
Practice Address - Street 1:4550 NEW LINDEN HILL RD
Practice Address - Street 2:LINDEN PARK 3RD FL RED CLAY CONSOLIDATED SCHOOL DISTRIC
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2930
Practice Address - Country:US
Practice Address - Phone:302-552-3797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0023824163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool