Healthcare Provider Details

I. General information

NPI: 1003455676
Provider Name (Legal Business Name): MELANIE RYAN DUERR RN. NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2019
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 DIX AVE
HUDSON FALLS NY
12839-9618
US

IV. Provider business mailing address

1247 DIX AVE
HUDSON FALLS NY
12839-9618
US

V. Phone/Fax

Practice location:
  • Phone: 518-891-0606
  • Fax: 866-200-4448
Mailing address:
  • Phone: 518-891-0606
  • Fax: 866-200-4448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number303918
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: