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NPI Code Detail

MEDICARE: MRS. MELISSA M SLABAUGH APRN-CNP

MEDICARE: MRS. MELISSA M SLABAUGH APRN-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
1363LF0000XFamily Nurse Practitioner021790OH

General Provider Information

NPI Number : 1255840880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA M SLABAUGH APRN-CNP
Provider Business Mailing Address
First Line : 7300 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45230-4119
Country : US
Telephone Number : 513-232-9100
Fax Number : 513-232-3333
Provider Business Practice Location Address
First Line : 7300 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45230-4119
Country : US
Telephone Number : 513-232-9100
Fax Number : 513-232-3333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 04/22/2018

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