MEDICARE: MELANIE Y HALL APRN FNP-C

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	163WS0200X	School Registered Nurse	OH3004735	OH
2	363LF0000X	Family Nurse Practitioner	15904-NP	OH

General Provider Information

NPI Number	:	1700206208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE Y HALL APRN FNP-C

Provider Business Mailing Address
First Line	:	464 RICHMOND RD
Second Line	:	SUITE 201
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-2792
Country	:	US
Telephone Number	:	216-881-5055
Fax Number	:

Provider Business Practice Location Address
First Line	:	464 RICHMOND RD
Second Line	:	SUITE 201
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-2792
Country	:	US
Telephone Number	:	216-881-5055
Fax Number	:

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

Provider Enumeration Date	:	04/23/2014
Last Update Date	:	01/11/2019

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