Provider Demographics
NPI:1598061962
Name:ZARTMAN, MELISSA SUE (LPN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:SUE
Last Name:ZARTMAN
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 1:1920 GRAYBILL RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-8732
Mailing Address - Country:US
Mailing Address - Phone:330-571-0261
Mailing Address - Fax:
Practice Address - Street 1:1920 GRAYBILL RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-8732
Practice Address - Country:US
Practice Address - Phone:330-571-0261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 113633 M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse