Provider Demographics
NPI:1003832825
Name:PRICE, MELODY JANE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MELODY
Middle Name:JANE
Last Name:PRICE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:MELODY
Other - Middle Name:JANE
Other - Last Name:VANECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23614 TOWNSHIP ROAD 150
Mailing Address - Street 2:
Mailing Address - City:LA RUE
Mailing Address - State:OH
Mailing Address - Zip Code:43332-9107
Mailing Address - Country:US
Mailing Address - Phone:740-360-9632
Mailing Address - Fax:740-499-3094
Practice Address - Street 1:23614 TOWNSHIP ROAD 150
Practice Address - Street 2:
Practice Address - City:LA RUE
Practice Address - State:OH
Practice Address - Zip Code:43332-9107
Practice Address - Country:US
Practice Address - Phone:740-360-9632
Practice Address - Fax:740-499-3094
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN100998164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse