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NPI Code Detail

MEDICARE: MRS. CANDICE SHANIECE MELVIN-ONISILE RN

MEDICARE: MRS. CANDICE SHANIECE MELVIN-ONISILE RN
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 NurseN09859-01NY

General Provider Information

NPI Number : 1730529025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CANDICE SHANIECE MELVIN-ONISILE RN
Provider Business Mailing Address
First Line : 610 BROADWAY
Second Line : BOX 237
City : NEWBURGH
State : NY
Zip : 12550-5130
Country : US
Telephone Number : 845-857-8754
Fax Number : 845-565-4170
Provider Business Practice Location Address
First Line : 182 LIBERTY ST
Second Line : APT 1
City : NEWBURGH
State : NY
Zip : 12550-4912
Country : US
Telephone Number : 919-333-2575
Fax Number : 845-565-4170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2013
Last Update Date : 10/21/2025

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