Provider Demographics
NPI:1679302269
Name:RESIGNAC, MELANDY
Entity type:Individual
Prefix:
First Name:MELANDY
Middle Name:
Last Name:RESIGNAC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6218 NILE PL APT D
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-2166
Mailing Address - Country:US
Mailing Address - Phone:845-729-9798
Mailing Address - Fax:
Practice Address - Street 1:6218 NILE PL APT D
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-2166
Practice Address - Country:US
Practice Address - Phone:845-729-9798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer