Doctor Name: | MARY ELLEN MEADE |
NPI Number: | 1003049735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 323442-1 |
Business Practice Address: | 401 Harris B.dates Drive Ithaca, NY - 14850 |
Business Phone Number: | 6072746698 |
Business Fax Number: | 6072746648 |
Mailing Address: | 401 Harris B.dates Drive., ITHACA |
State: | NY |
Postal Code: | 14850 |
Phone Number: | 6072746698 |
Fax Number: | 6072746648 |
NPI Enumeration Date: | 08/28/2009 |
NPI Last Update Date: | 08/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 323442-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |