Provider Demographics
NPI:1700957586
Name:ROBINETT, MELISSA EILEEN (RN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:EILEEN
Last Name:ROBINETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:EILEEN
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3353 MARSHRUN DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-1881
Mailing Address - Country:US
Mailing Address - Phone:614-893-9528
Mailing Address - Fax:
Practice Address - Street 1:2825 W DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-2712
Practice Address - Country:US
Practice Address - Phone:614-336-6000
Practice Address - Fax:614-336-7272
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 269858163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse