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Individual

MELANIE ANN CAUSTRITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 630-2028
(419) 630-2029
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18736
SC
363L00000X
Nurse Practitioner
Primary
APRN.CNP.13124
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0065971
OH
Enumeration date
02/06/2012
Last updated
05/02/2025
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