Provider Demographics
NPI:1477733459
Name:COWDERY, MELISCHA P (FNP-C)
Entity Type:Individual
Prefix:
First Name:MELISCHA
Middle Name:P
Last Name:COWDERY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MELISCHA
Other - Middle Name:P
Other - Last Name:THORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-0188
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:740-775-7855
Practice Address - Street 1:2434 RICHMILLER LN UNIT F
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1075
Practice Address - Country:US
Practice Address - Phone:740-423-6594
Practice Address - Fax:740-423-8096
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.09838-NP363LF0000X
WV47780363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2936934Medicaid
WV3810012885Medicaid
OHH268430Medicare PIN