Individual
MRS. MELINDA STANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
757 JOHNSONBURG RD STE 100, SAINT MARYS, PA 15857-3488
(814) 788-8580
Mailing address
757 JOHNSONBURG RD STE 100, SAINT MARYS, PA 15857-3488
(814) 788-8580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018165
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP018165
STATE LICENSE
PA
Enumeration date
11/28/2017
Last updated
01/26/2018
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