Lyse Marie Mellon in Kissimmee - Licensed Practical Nurse
Lyse Marie Mellon - NPI 1225003502
Lyse Marie Mellon is a Licensed Practical Nurse in Kissimmee, Florida. Lyse Marie Mellon practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Lyse Marie Mellon is 1225003502. The last update date is 2007-07-08.
Lyse Marie Mellon's current location address is 1875 Boggy Creek Rd, Kissimmee, Florida. You can contact this provider via phone number 4079437011 and fax number 4073432067. The mailing address for Lyse Marie Mellon is 1875 Boggy Creek Rd, Kissimmee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyse Marie Mellon |
|---|---|
| Address | 1875 Boggy Creek Rd, Kissimmee, Florida |
| Phone Number | 4079437011 |
| Fax Number | 4073432067 |
| Sole Proprietor | X |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1225003502 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1875 Boggy Creek Rd |
|---|---|
| City | Kissimmee |
| State | Florida (FL) |
| Post Code | 347449516 |
| Phone Number | 4079437011 |
| Fax Number | 4073432067 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN1263081 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Post Comment/ Review Below
What is the unique identifier code issued to Lyse Marie Mellon by the Centers for Medicare & Medicaid Services (CMS)?
The Lyse Marie Mellon has been assigned the NPI (National Provider Identifier) 1225003502. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Lyse Marie Mellon is geographically located?
The Lyse Marie Mellon is physically situated at the following location: 1875 Boggy Creek Rd, Kissimmee, FL, 347449516.
What is Lyse Marie Mellon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lyse Marie Mellon's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
When was the Lyse Marie Mellon's 1225003502 issued?
The Lyse Marie Mellon's 1225003502 was issued on 2006-02-21.
When was the information regarding Lyse Marie Mellon most recently updated?
The details pertaining to the Lyse Marie Mellon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH