Healthcare Provider Details

I. General information

NPI: 1033519442
Provider Name (Legal Business Name): MELANIE S HYNES N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2014
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S STANFIELD RD STE A
TROY OH
45373
US

IV. Provider business mailing address

600 W MAIN ST STE 330
TROY OH
45373-3384
US

V. Phone/Fax

Practice location:
  • Phone: 937-339-5355
  • Fax: 937-339-3056
Mailing address:
  • Phone: 937-980-7400
  • Fax: 937-980-7409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.16383
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: