Provider Demographics
NPI:1720769573
Name:MELGAR, JANY (BSN, RN, CCRN)
Entity Type:Individual
Prefix:MRS
First Name:JANY
Middle Name:
Last Name:MELGAR
Suffix:
Gender:F
Credentials:BSN, RN, CCRN
Other - Prefix:
Other - First Name:JANY
Other - Middle Name:
Other - Last Name:FANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN, CCRN
Mailing Address - Street 1:1140 HARRISON ST APT 455
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-4649
Mailing Address - Country:US
Mailing Address - Phone:408-887-0155
Mailing Address - Fax:
Practice Address - Street 1:1140 HARRISON ST APT 455
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-4649
Practice Address - Country:US
Practice Address - Phone:408-887-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95123135163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse