Healthcare Provider Details

I. General information

NPI: 1982386496
Provider Name (Legal Business Name): MELISSA M CRIBBS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12301 RIDGE RD
NORTH ROYALTON OH
44133-3744
US

IV. Provider business mailing address

1154 PARKWAY DR
COLUMBUS OH
43212-3523
US

V. Phone/Fax

Practice location:
  • Phone: 440-652-8748
  • Fax:
Mailing address:
  • Phone: 614-439-7043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0034130
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: