Provider Demographics
NPI:1942021357
Name:TRIANO, MELANIE CRYSTAL (APRN)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:CRYSTAL
Last Name:TRIANO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 7TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-2010
Mailing Address - Country:US
Mailing Address - Phone:201-889-5952
Mailing Address - Fax:
Practice Address - Street 1:512 KEARNY AVE
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-2703
Practice Address - Country:US
Practice Address - Phone:201-998-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15180500363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health