Provider Demographics
NPI:1184966988
Name:RADDATZ, MELISSA ANNE (FNP)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANNE
Last Name:RADDATZ
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:575 LEXINGTON AVE RM 540
Mailing Address - Street 2:NEWYORK-PRESBYTERIAN-WEILL CORNELL MEDICAL COLLEGE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6145
Mailing Address - Country:US
Mailing Address - Phone:212-746-6000
Mailing Address - Fax:646-962-0122
Practice Address - Street 1:2315 BROADWAY FRNT 4
Practice Address - Street 2:NEWYORK-PRESBYTERIAN-WEILL CORNELL MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4332
Practice Address - Country:US
Practice Address - Phone:212-746-6000
Practice Address - Fax:212-962-0167
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2014-11-11
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Provider Licenses
StateLicense IDTaxonomies
NYF337791-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily