Individual provider · Type 1 NPI
Melissa Lanza
Family Nurse Practitioner · Staten Island, NY
NPI number
1386836104
Active
Practice location
3700 Richmond Ave
Staten Island, NY 10312-3836
Fax (718) 980-6103
Mailing address
470 Mason Ave
Staten Island, NY 10305-2222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 334756 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1386836104
Melissa Lanza's National Provider Identifier is 1386836104, issued on Aug 15, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 16, 2011.