Provider Demographics
NPI:1245074780
Name:WESBY, MELAINE
Entity type:Individual
Prefix:
First Name:MELAINE
Middle Name:
Last Name:WESBY
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 1:2469 WARREN PKWY APT 1
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1357
Mailing Address - Country:US
Mailing Address - Phone:216-376-1536
Mailing Address - Fax:
Practice Address - Street 1:2469 WARREN PKWY APT 1
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1357
Practice Address - Country:US
Practice Address - Phone:216-376-1536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide