Provider Demographics
NPI:1194103564
Name:RACHEL-CASAIGNE, MELISSA CHINEDA (LPN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:CHINEDA
Last Name:RACHEL-CASAIGNE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 FOREST AVE
Mailing Address - Street 2:2ND FLR
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3021
Mailing Address - Country:US
Mailing Address - Phone:518-337-0470
Mailing Address - Fax:
Practice Address - Street 1:51 FOREST AVE
Practice Address - Street 2:2ND FLR
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3021
Practice Address - Country:US
Practice Address - Phone:518-337-0470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316454-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse