| Doctor Name: | MISS MELINDA SUE MOWRY |
| NPI Number: | 1235339706 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 535598 |
| Business Practice Address: | 8172 Parmalee Rd Le Roy, NY - 144829359 |
| Business Phone Number: | 5857689297 |
| Business Fax Number: | |
| Mailing Address: | 8172 Parmalee Rd, LE ROY |
| State: | NY |
| Postal Code: | 144829359 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 07/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 535598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |