Provider Demographics
NPI:1851601058
Name:CHIMENTO, MELINDA RUTH (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:RUTH
Last Name:CHIMENTO
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2802
Mailing Address - Country:US
Mailing Address - Phone:513-824-7842
Mailing Address - Fax:513-824-7843
Practice Address - Street 1:2314 AUBURN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2802
Practice Address - Country:US
Practice Address - Phone:513-824-7842
Practice Address - Fax:513-824-7843
Is Sole Proprietor?:No
Enumeration Date:2010-10-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.11949363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3104134Medicaid