MEDICARE: ALISSA ALENE MEDLEY

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
1	163WH0200X	Home Health Registered Nurse	374U00000X	OH

General Provider Information

NPI Number	:	1679411532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISSA ALENE MEDLEY

Provider Business Mailing Address
First Line	:	24607 EMERY RD
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5617
Country	:	US
Telephone Number	:	216-468-2475
Fax Number	:

Provider Business Practice Location Address
First Line	:	24607 EMERY RD
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5617
Country	:	US
Telephone Number	:	216-468-2475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/26/2026

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Directions to “ ALISSA ALENE MEDLEY ” Practice Location

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