Provider Demographics
NPI:1700335171
Name:SCHIMPF, MELANIE AILEEN (RN)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:AILEEN
Last Name:SCHIMPF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 MUSKOGEE ST
Mailing Address - Street 2:
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-1421
Mailing Address - Country:US
Mailing Address - Phone:541-265-0581
Mailing Address - Fax:541-574-6252
Practice Address - Street 1:1010 SW COAST HWY
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-5288
Practice Address - Country:US
Practice Address - Phone:541-265-0581
Practice Address - Fax:541-574-6252
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201607850RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse