Melissa Renee Bouvia
Individual provider Active NPI Licensed Practical Nurse · Baldwinsville, NY
NPI 1477864965 · NPPES record last updated Jun 29, 2010
Key facts
- NPI
- 1477864965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 270742-1 (NY)
- Practice address
- 3671 Gaskin Rd
Baldwinsville, NY 13027-9322 - Phone
- (315) 657-8261
- NPI assigned
- Jun 29, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270742-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 270742-1 | NY | Yes |
Addresses
Primary practice location
3671 Gaskin Rd
Baldwinsville, NY 13027-9322
Mailing address
3671 Gaskin Rd
Baldwinsville, NY 13027-9322
Phone (315) 657-8261
Other providers in Baldwinsville, NY
- Tracy Lynn Boisey
- Kimberly Ann Bono
- Lynda L. Bookman
- Jennifer Lyn Bordonaro-Benson
- Jenna Boutilier
- Joanne L Bowen
- Britany Brancheau
- Jill Braun
- Leanna Brier
- Kevin James Brown
All providers in Baldwinsville, NY · Licensed Practical 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 Jun 29, 2010. 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.