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NPI Code Detail

MEDICARE: MELISSA MOFFET RN

MEDICARE: MELISSA MOFFET RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP2201XAmbulatory Care Registered Nurse386647OH

General Provider Information

NPI Number : 1518805456
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MOFFET RN
Provider Business Mailing Address
First Line : 1200 S DETROIT AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43614-5903
Country : US
Telephone Number : 419-213-7535
Fax Number :
Provider Business Practice Location Address
First Line : 1200 S DETROIT AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43614-5903
Country : US
Telephone Number : 419-213-7535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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