Mellessa Anglin, RN

Individual provider Active NPI Registered Nurse · Orangeburg, NY

NPI 1316786338 · NPPES record last updated May 20, 2024

Key facts

NPI
1316786338
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
26NR23924200 (NJ)
Practice address
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone
(845) 680-1000
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
26NR23924200NJMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR23924200 NJ Yes

Addresses

Primary practice location

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157

Mailing address

18 Bryan Dr
Montvale, NJ 07645-1402
Phone (917) 660-0476

Other providers in Orangeburg, NY

All providers in Orangeburg, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.