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NPI Code Detail

MEDICARE: MRS. MELANIE A MORAN R.N.

MEDICARE: MRS. MELANIE A MORAN R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse533683NY
2171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558647131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELANIE A MORAN R.N.
Provider Business Mailing Address
First Line : 411 MAIN ST STE 300
Second Line :
City : CATSKILL
State : NY
Zip : 12414-1366
Country : US
Telephone Number : 518-719-3622
Fax Number : 518-719-3779
Provider Business Practice Location Address
First Line : 411 MAIN ST STE 300
Second Line :
City : CATSKILL
State : NY
Zip : 12414-1366
Country : US
Telephone Number : 518-719-3600
Fax Number : 518-719-3779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2011
Last Update Date : 08/23/2023

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