Provider Demographics
NPI:1922996065
Name:WEBBER, MELISA LYNN
Entity type:Individual
Prefix:
First Name:MELISA
Middle Name:LYNN
Last Name:WEBBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4370 KINSMAN RD
Mailing Address - Street 2:
Mailing Address - City:MESOPOTAMIA
Mailing Address - State:OH
Mailing Address - Zip Code:44439
Mailing Address - Country:US
Mailing Address - Phone:440-313-5068
Mailing Address - Fax:
Practice Address - Street 1:8833 RT 534
Practice Address - Street 2:PO BOX 164
Practice Address - City:MESOPOTAMIA
Practice Address - State:OH
Practice Address - Zip Code:44439
Practice Address - Country:US
Practice Address - Phone:440-313-5068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide