MEDICARE: MELISSA LYNN TRABEL

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
1	363LF0000X	Family Nurse Practitioner	RN.328319	OH

General Provider Information

NPI Number	:	1154781656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LYNN TRABEL

Provider Business Mailing Address
First Line	:	157 BARNWOOD DR
Second Line	:
City	:	EDGEWOOD
State	:	KY
Zip	:	41017-2589
Country	:	US
Telephone Number	:	859-287-4759
Fax Number	:

Provider Business Practice Location Address
First Line	:	1474 MAIN ST
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45013-1074
Country	:	US
Telephone Number	:	513-896-8967
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2016
Last Update Date	:	06/27/2019

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