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NPI Code Detail

MEDICARE: MS. MELISSA ANN HORN RN MSN CRNP

MEDICARE: MS. MELISSA ANN HORN RN MSN CRNP
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
1163WG0000XGeneral Practice Registered Nurse176362OH

General Provider Information

NPI Number : 1265561534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA ANN HORN RN MSN CRNP
Provider Business Mailing Address
First Line : 1141 SAN RAPHAEL DR
Second Line :
City : AKRON
State : OH
Zip : 44333-2922
Country : US
Telephone Number : 216-368-6277
Fax Number : 216-368-3542
Provider Business Practice Location Address
First Line : 10900 EUCLID AVE
Second Line : FPB SCHOO OF NURSING
City : CLEVELAND
State : OH
Zip : 44106-1712
Country : US
Telephone Number : 216-368-6277
Fax Number : 216-368-3542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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