Basic Information
| Provider Information | |||||||||
| NPI: | 1174060503 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PIRANIAN | ||||||||
| FirstName: | MELODY | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | RN, CPNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1612 SOUTH ST APT 12 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191461542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574033616 | ||||||||
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| Practice Location | |||||||||
| Address1: | ANDORRA PEDIATRICS | ||||||||
| Address2: | 8945 RIDGE AVE ST 5 | ||||||||
| City: | PHILA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154838558 | ||||||||
| FaxNumber: | 2154871270 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2017 | ||||||||
| LastUpdateDate: | 05/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | SP016958 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.