Melinda Sue Mowry, R.N.
Individual provider Active NPI Pediatric Registered Nurse · Le Roy, NY
NPI 1235339706 · NPPES record last updated Jul 23, 2007
Key facts
- NPI
- 1235339706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 535598 (NY)
- Practice address
- 8172 Parmalee Rd
Le Roy, NY 14482-9359 - Phone
- (585) 768-9297
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 535598 | NY | MD | Pediatric Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 535598 | NY | Yes |
Addresses
Primary practice location
8172 Parmalee Rd
Le Roy, NY 14482-9359
Mailing address
8172 Parmalee Rd
Le Roy, NY 14482-9359
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02632722 | Medicaid | NY |
Other providers in Le Roy, NY
- Jamie Elise Mazza
- Emily Elizabeth McCann
- Meadows Medical Care P.C.
- Amy Quinn Miller
- Melanie Moffat
- Jennifer Ann Muehlig
- Cali Grace Nichols
- Kellyrose Mary Nichols
- Renee Nicometo
- Joshua David Nowak
All providers in Le Roy, NY · Pediatric Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.