Healthcare Provider Details

I. General information

NPI: 1326078767
Provider Name (Legal Business Name): MELANI ANNE RANCK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANI ANNE FISHER

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 09/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S GEORGE ST 3RD FLOOR
YORK PA
17403-3676
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-4005
  • Fax: 717-812-2495
Mailing address:
  • Phone: 717-851-6400
  • Fax: 717-851-6410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberVP004054B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: