Provider Demographics
NPI:1851369458
Name:BROWN, MELBA MICHELE (CRNP CNS)
Entity Type:Individual
Prefix:
First Name:MELBA
Middle Name:MICHELE
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNP CNS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 636930
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6930
Mailing Address - Country:US
Mailing Address - Phone:513-981-5123
Mailing Address - Fax:513-981-5015
Practice Address - Street 1:750 W HIGH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-2969
Practice Address - Country:US
Practice Address - Phone:419-227-1359
Practice Address - Fax:419-227-7586
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2022-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH161468363L00000X
OHNP083089363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000549038OtherANTHEM BCBS
OH1851369458OtherANTHEM
OH2791037Medicaid
OH000000549038OtherANTHEM BCBS
OH2791037Medicaid