MEDICARE: MS. MELODEE ARMSTRONG RN, CNS, FNP, MS

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
1	163W00000X	Registered Nurse	496169	NY
2	163WC1600X	Continuing Education/Staff Development Registered Nurse	496169	NY
3	163WG0600X	Gerontology Registered Nurse	496169	NY
4	376K00000X	Nurse's Aide	496169	NY
5	163WI0600X	Infection Control Registered Nurse	496169	NY
6	163WX0106X	Occupational Health Registered Nurse	496169	NY
7	373H00000X	Day Training/Habilitation Specialist	496169	NY

General Provider Information

NPI Number	:	1073948055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELODEE ARMSTRONG RN, CNS, FNP, MS

Provider Business Mailing Address
First Line	:	1064 CARROLL PL APT 4G
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-5710
Country	:	US
Telephone Number	:	718-536-8475
Fax Number	:

Provider Business Practice Location Address
First Line	:	1064 CARROLL PL APT 4G
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-5710
Country	:	US
Telephone Number	:	718-536-8475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2013
Last Update Date	:	09/09/2013

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