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Individual
MELISSA T STASIAK
Active
Individual
MELISSA T STASIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP06421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2231249
—
OH
01
—
27480382900
BWC
OH
Enumeration date
07/12/2006
Last updated
07/08/2007
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