Individual
MELINDA SUE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 LONG AVE, SUITE NUMBER 110, HAMBURG, NY 14075-6200
(716) 646-5188
Mailing address
17 LONG AVE, SUITE NUMBER 110, HAMBURG, NY 14075-6200
(716) 646-5188
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
22616263
NY
363L00000X
Nurse Practitioner
Primary
340457
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2012
Last updated
04/08/2021
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