Provider Demographics
NPI:1255747960
Name:HOWELL, MELISSA (ANP-BC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CRIDERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45806-2122
Mailing Address - Country:US
Mailing Address - Phone:419-234-8558
Mailing Address - Fax:
Practice Address - Street 1:2035 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:CRIDERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45806-2122
Practice Address - Country:US
Practice Address - Phone:419-234-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA15937-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health