Healthcare Provider Details

I. General information

NPI: 1487201125
Provider Name (Legal Business Name): MELISSA KAY ROBB FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA ROBB FNP

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 07/22/2021
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 10TH ST
NIAGARA FALLS NY
14301-1813
US

IV. Provider business mailing address

106 KENTON RD
KENMORE NY
14217-1733
US

V. Phone/Fax

Practice location:
  • Phone: 716-278-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number617895
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number344836
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number344836
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: