Most Relevant Information
Provider Data
| NPI Number: | 1003049735 |
| Provider Name: | MARY ELLEN MEADE R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC1500X |
| Specialty: | Registered Nurse |
| License Number: | 323442-1 |
Most Important Dates
| Enumeration Date: | 08/28/2009 |
| Last Updated: | 08/28/2009 |
Provider Practice Location
401 HARRIS B.DATES DRIVE
ITHACA
NY
14850
Practice Location Phone/Fax
| Phone: | 6072746698 |
| Fax: | 6072746648 |
Provider Mailing Location
401 HARRIS B.DATES DRIVE.
ITHACA
NY
14850
Provider Mailing Phone/Fax
| Phone: | 6072746698 |
| Fax: | 6072746648 |