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Individual
MELANIE D MATHENY
Active
Individual
MELANIE D MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
33982
WV
363LF0000X
Family Nurse Practitioner
Primary
COA.14136-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077033
—
OH
05
—
7103008000
—
WV
01
—
P010152504
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
03/29/2006
Last updated
04/29/2013
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