Provider Demographics
NPI:1326874660
Name:SCHLOSSER, MELISSA LOUISE (LPN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:LOUISE
Last Name:SCHLOSSER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:LOUISE
Other - Last Name:VANTHOURNOUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:8 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-1826
Mailing Address - Country:US
Mailing Address - Phone:315-596-9055
Mailing Address - Fax:
Practice Address - Street 1:8 S 4TH ST
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-1826
Practice Address - Country:US
Practice Address - Phone:315-596-9055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY284341164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse