Individual
MELINDA NOBLES PRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
176 DENISON PKWY E, CORNING, NY 14830-2814
(607) 937-7278
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
598220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0797
—
SC
Enumeration date
08/16/2005
Last updated
09/16/2011
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