MRS. MELISSA ANN FANNING RN
NPI 1194236026
Clinical Nurse Specialist - Long-Term Care in Liberty, NY

Active since October 18, 2017
256 SUNSET LAKE RD, LIBERTY, NY 12754(845) 513-2012(845) 513-2177 Get Directions Write a Review

NPPES record last updated: October 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Melissa Ann Fanning Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELISSA ANN FANNING RN (NPI 1194236026) is an individual long-term care provider in Liberty, New York, licensed in New York (659590-1) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1194236026
Entity TypeIndividualFemale
Primary Taxonomy364SL0600X
Provider Legal NameMRS. MELISSA ANN FANNINGCredential: RN
Location Address256 SUNSET LAKE RDLiberty, NY 12754-2847
Mailing Address256 Sunset Lake RdLiberty, NY 12754-2847 · (845) 513-2012 · Fax (845) 513-2177
Fax(845) 513-2177
Sole ProprietorNo
Enumeration DateOctober 18, 2017
NPI 1194236026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Long-Term CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SL0600X
License Licensed in NY · 659590-1
256 SUNSET LAKE RD, Liberty, NY 12754

Other Names 1

Former Name (1)Ms. Melissa Ann Grill Rn

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Administrator)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Psychologist (Clinical)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Physical Therapy Assistant
256 SUNSET LAKE RD, SULLIVAN COUNTY ADULT CARE CENTER
LIBERTY, NY 12754
Physical Therapy Assistant
256 SUNSET LAKE RD
LIBERTY, NY 12754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Fanning's NPI number?

The NPI number for Melissa Fanning is 1194236026. It was assigned to this individual provider in the NPPES registry on October 18, 2017. The provider is also known as Ms. Melissa Ann Grill Rn.

Where is Melissa Fanning located?

Melissa Fanning practices at 256 Sunset Lake Rd, Liberty, NY 12754. The listed phone number is (845) 513-2012.

What is Melissa Fanning's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Long-Term Care, with taxonomy code 364SL0600X.

When was this NPI record last updated?

The NPPES record for Melissa Fanning was last updated on October 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.