Healthcare Provider Details

I. General information

NPI: 1851601058
Provider Name (Legal Business Name): MELINDA RUTH CHIMENTO WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 12/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2314 AUBURN AVE
CINCINNATI OH
45219-2802
US

IV. Provider business mailing address

2314 AUBURN AVE
CINCINNATI OH
45219-2802
US

V. Phone/Fax

Practice location:
  • Phone: 513-824-7842
  • Fax: 513-824-7843
Mailing address:
  • Phone: 513-824-7842
  • Fax: 513-824-7843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberCOA.11949
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: