Provider Demographics
NPI:1275837916
Name:CARTWRIGHT, MELISSA GAY (LPN)
Entity Type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:GAY
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5614 SHEPARD RD
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-6441
Mailing Address - Country:US
Mailing Address - Phone:440-474-3056
Mailing Address - Fax:
Practice Address - Street 1:5614 SHEPARD RD
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6441
Practice Address - Country:US
Practice Address - Phone:440-474-3056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN127936164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse