Provider Demographics
NPI:1881448249
Name:HEINRICH, MELISSA MARY
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARY
Last Name:HEINRICH
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 1:6316 LAKOTA MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-9525
Mailing Address - Country:US
Mailing Address - Phone:513-328-3989
Mailing Address - Fax:
Practice Address - Street 1:6316 LAKOTA MEADOWS DR
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45044-9525
Practice Address - Country:US
Practice Address - Phone:513-328-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide