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Contact Information

ANN F MELLEN, FNP
13407 STATE ROUTE 12
BOONVILLE, NY13309
 Phone: 315-942-3500
 Fax: 315-942-3618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANN F MELLEN · (Female)

NPI # 1144368127
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/02/2007
Last updated 09/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F331641
  • NY License # F331641-1
  • NY Medicaid 03300331641
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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