Provider Demographics
NPI:1326352683
Name:RAHE, MELISSA MICHELLE (RN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MICHELLE
Last Name:RAHE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 BENT TREE DR
Mailing Address - Street 2:APT 2D
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-6767
Mailing Address - Country:US
Mailing Address - Phone:513-545-4966
Mailing Address - Fax:
Practice Address - Street 1:280 BENT TREE DR
Practice Address - Street 2:APT 2D
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-6767
Practice Address - Country:US
Practice Address - Phone:513-545-4966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH360226163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse