Provider Demographics
NPI:1710217815
Name:LINT, MELANIE S (MSN, RN, CNS)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:S
Last Name:LINT
Suffix:
Gender:F
Credentials:MSN, RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 OUTERBELT ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1548
Mailing Address - Country:US
Mailing Address - Phone:614-759-5075
Mailing Address - Fax:614-759-5079
Practice Address - Street 1:81 OUTERBELT ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1548
Practice Address - Country:US
Practice Address - Phone:614-759-5075
Practice Address - Fax:614-759-5079
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-215945364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH182800Medicare PIN