Provider Demographics
NPI:1396974747
Name:BIDDLE, MELANIE MARY
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:MARY
Last Name:BIDDLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:MARY
Other - Last Name:BIDDLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:132 S STANWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-1859
Mailing Address - Country:US
Mailing Address - Phone:614-231-4788
Mailing Address - Fax:
Practice Address - Street 1:132 S STANWOOD RD
Practice Address - Street 2:
Practice Address - City:BEXLEY
Practice Address - State:OH
Practice Address - Zip Code:43209-1859
Practice Address - Country:US
Practice Address - Phone:614-231-4788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 122504163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse