Healthcare Provider Details

I. General information

NPI: 1265561534
Provider Name (Legal Business Name): MELISSA ANN HORN RN MSN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 EUCLID AVE FPB SCHOO OF NURSING
CLEVELAND OH
44106-1712
US

IV. Provider business mailing address

1141 SAN RAPHAEL DR
AKRON OH
44333-2922
US

V. Phone/Fax

Practice location:
  • Phone: 216-368-6277
  • Fax: 216-368-3542
Mailing address:
  • Phone: 216-368-6277
  • Fax: 216-368-3542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number176362
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: