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NPI Code Detail

MEDICARE: VIRGINIA ANN MELVER CNP

MEDICARE:   VIRGINIA ANN MELVER  CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner05470NPOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2RN209005OTHEROHNURSING LICENSE#

General Provider Information

NPI Number : 1134286594
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA ANN MELVER CNP
Provider Business Mailing Address
First Line : 25350 ROCKSIDE RD
Second Line : SUITE 100
City : CLEVELAND
State : OH
Zip : 44146-7110
Country : US
Telephone Number : 440-232-8381
Fax Number : 440-374-4967
Provider Business Practice Location Address
First Line : 25350 ROCKSIDE RD
Second Line : SUITE 100
City : CLEVELAND
State : OH
Zip : 44146-7110
Country : US
Telephone Number : 440-232-8381
Fax Number : 440-374-8381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 02/10/2012

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