Healthcare Provider Details

I. General information

NPI: 1053248526
Provider Name (Legal Business Name): MELISSA GRAF LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4969 GLENWAY AVE
CINCINNATI OH
45238-3907
US

IV. Provider business mailing address

716 S COLLEGE AVE APT 17
OXFORD OH
45056-2259
US

V. Phone/Fax

Practice location:
  • Phone: 513-386-9362
  • Fax:
Mailing address:
  • Phone: 326-233-0473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number141011
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: