Provider Demographics
NPI:1891025078
Name:HECKEL, MELISSA EVE (LPN)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:EVE
Last Name:HECKEL
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 1:496 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-2610
Mailing Address - Country:US
Mailing Address - Phone:937-243-8081
Mailing Address - Fax:
Practice Address - Street 1:496 W 3RD ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-2610
Practice Address - Country:US
Practice Address - Phone:937-243-8081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN135714164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse