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NPI Code Detail

MEDICARE: MELISSA SHORTER

MEDICARE: MELISSA SHORTER
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
1374U00000XHome Health Aide
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1366205353
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SHORTER
Provider Business Mailing Address
First Line : 8710 NEPTUNE DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-4124
Country : US
Telephone Number : 513-560-7523
Fax Number :
Provider Business Practice Location Address
First Line : 3650 MUDDY CREEK RD STE 100
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-2058
Country : US
Telephone Number : 513-347-0375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2024
Last Update Date : 09/04/2024

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Directions to “ MELISSA SHORTER ” Practice Location

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