Melisa L Powley, FNP

Individual provider Active NPI Family Nurse Practitioner · Glens Falls, NY

NPI 1396561544 · NPPES record last updated Dec 11, 2024

Key facts

NPI
1396561544
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
2921786 (NY)
Practice address
102 Park St
Glens Falls, NY 12801-4403
Phone
(518) 677-3961
NPI assigned
Dec 3, 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

State licenses

LicenseStateTypeSpecialty
2921786NYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2921786 NY Yes

Addresses

Primary practice location

102 Park St
Glens Falls, NY 12801-4403

Mailing address

1870 County Route 31
Granville, NY 12832-4305
Phone (518) 538-9573

Other providers in Glens Falls, NY

All providers in Glens Falls, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.