Melissa A Vara
Individual provider Active NPI Licensed Practical Nurse · Blasdell, NY
NPI 1497069017 · NPPES record last updated Aug 6, 2010
Key facts
- NPI
- 1497069017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 231160 (NY)
- Practice address
- 3184 Clearview Way
Blasdell, NY 14219-1302 - Phone
- (716) 697-1998
- NPI assigned
- Aug 6, 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 |
|---|---|---|---|
| 231160 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 231160 | NY | Yes |
Addresses
Primary practice location
3184 Clearview Way
Blasdell, NY 14219-1302
Mailing address
3184 Clearview Way
Blasdell, NY 14219-1302
Phone (716) 697-1998
Other providers in Blasdell, NY
- Paige Szarafin
- Tracey Ann Taylor
- Savannah Rose Tomaka
- Trucare Pharmacy LLC
- Usrc Hamburg LLC
- Vitality Group of Wny
- Donna M Vogt
- Gregory Watson
- Nicole Lee Wedzina
- Wegmans Food Markets, Inc.
All providers in Blasdell, 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 Aug 6, 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.