Provider Demographics
NPI:1659437523
Name:PEPPER, MELANIE (CNP)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:PEPPER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8117 LODEN CT
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-9225
Mailing Address - Country:US
Mailing Address - Phone:614-866-3639
Mailing Address - Fax:614-860-9118
Practice Address - Street 1:8117 LODEN CT
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-9225
Practice Address - Country:US
Practice Address - Phone:614-866-3639
Practice Address - Fax:614-860-9118
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH174444363LN0005X
NJ26NN09851300363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care