Healthcare Provider Details

I. General information

NPI: 1851001564
Provider Name (Legal Business Name): MELISSA S SCHRODER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3147 GLENDALE MILFORD RD
CINCINNATI OH
45241-3134
US

IV. Provider business mailing address

3147 GLENDALE MILFORD RD
CINCINNATI OH
45241-3134
US

V. Phone/Fax

Practice location:
  • Phone: 513-346-1270
  • Fax: 513-346-1243
Mailing address:
  • Phone: 513-346-1270
  • Fax: 513-346-1243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.455844
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0036859
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: