Individual
MELISSA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6000
(330) 656-5901
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-9304
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35082989
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360320
ANTHEM
OH
05
—
2444886
—
OH
Enumeration date
04/05/2006
Last updated
05/22/2008
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