Individual provider · Type 1 NPI

Melia Widagdo-Wuntu, R.N.

Registered Nurse · Elmhurst, NY

NPI number 1063898518 Active

Practice location

4308 74th St Apt 1
Elmhurst, NY 11373-2931

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X687207-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1063898518

Melia Widagdo-Wuntu, R.N.'s National Provider Identifier is 1063898518, issued on Aug 7, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Elmhurst, NY. The record was last updated on Aug 7, 2015.