Individual
TERESA E. MELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC, AOCNP
Contact information
Practice address
1044 BELMONT AVENUE, MERCY HEALTH ONCOLOGY, YOUNGSTOWN, OH 44501-1096
(330) 480-8015
(330) 480-4398
Mailing address
1044 BELMONT AVENUE, MERCY HEALTH, YOUNGSTOWN, OH 44501-1096
(330) 480-8015
(330) 480-4398
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA10168NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2924143
—
OH
01
—
H125570
MEDICARE PTAN
OH
Enumeration date
08/14/2008
Last updated
07/21/2022
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