MELLISA A GARDNER LPN
NPI 1689909715
Licensed Practical Nurse in Belmont, NY

Q: What is Mellisa Gardner's NPI number?

The NPI number for Mellisa Gardner is 1689909715. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Q: What is Mellisa Gardner's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mellisa Gardner was last updated on October 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 07, 2009

4638 NOBLES RD, BELMONT, NY 14813(585) 268-7240(585) 593-3336 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mellisa A Gardner Lpn NPPES

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

MELLISA A GARDNER LPN (NPI 1689909715) is an individual licensed practical nurse in Belmont, New York, licensed in New York (298287-1) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1689909715

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMELLISA A GARDNERCredential: LPN

Location Address4638 NOBLES RDBelmont, NY 14813-9722

Mailing Address4317 Moss Brook RdFriendship, NY 14739-8858 · (716) 380-7008

Phone(585) 268-7240

Fax(585) 593-3336

Sole ProprietorNo

Enumeration DateOctober 7, 2009

✔ NPI 1689909715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 298287-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4638 NOBLES RD, Belmont, NY 14813

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Other Providers at the Same Location NPPES 10

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

SUSAN L BOND LPN

Licensed Practical Nurse