Melissa Ann Dains, LPN

Individual provider Active NPI Licensed Practical Nurse · Grand Island, NY

NPI 1902497746 · NPPES record last updated Feb 2, 2021

Key facts

NPI
1902497746
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
32085901 (NY)
Practice address
2395 Staley Rd
Grand Island, NY 14072-2044
Phone
(716) 982-1080
NPI assigned
Feb 2, 2021
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

LicenseStateTypeSpecialty
32085901NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X 32085901 NY Yes

Addresses

Primary practice location

2395 Staley Rd
Grand Island, NY 14072-2044

Mailing address

2395 Staley Rd
Grand Island, NY 14072-2044
Phone (716) 982-1080

Other names

  • Melissa Ann Johnson Former name

Other providers in Grand Island, NY

All providers in Grand Island, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.