Provider Demographics
NPI:1184028862
Name:LEHOSIT, MELODY (FNP-C)
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:LEHOSIT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR.
Mailing Address - Street 2:BOX 9149
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-4501
Mailing Address - Country:US
Mailing Address - Phone:304-695-1235
Mailing Address - Fax:
Practice Address - Street 1:1 MED CENTER DR
Practice Address - Street 2:BOX 9149
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-4501
Practice Address - Country:US
Practice Address - Phone:304-695-1235
Practice Address - Fax:304-624-5199
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN39286-NP-C363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810028455Medicaid
WV3810028455Medicaid