Individual
MELISSA ANNE MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.265965
OH
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN.CNS.09847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057025
—
OH
Enumeration date
02/20/2008
Last updated
02/15/2024
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