Individual
MELISSA S MAXSON-MATTERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
444 JENNINGS CREEK RD, MARATHON, NY 13803-3836
(607) 232-6286
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4389
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
629176
NY
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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