MR. MELINDA LEE KREISEL


Address: 3104 Rolling Green Dr, Churchville, MD 21028-1314
Phone: 4108795515

MR. MELINDA LEE KREISEL (NPI# 1770609158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770609158
Entity Type Individual
Full Name MR. MELINDA LEE KREISEL
Credential R.N.
Practice Address 3104 Rolling Green Dr
Churchville
MD 21028-1314
Practice Telephone 4108795515
Mailing Telephone 4108795515
Enumeration Date 2007-03-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
RO72950 MD Nursing Service Providers

Office Location

Street Address 3104 ROLLING GREEN DR
City CHURCHVILLE
State MD
Zip Code 21028-1314

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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City CHURCHVILLE
Zip Code 21028

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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