Individual
MELODY CAMILLE BOALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 E MARKET ST, WARREN, OH 44481-1141
(330) 399-6451
(330) 394-6266
Mailing address
150 E MARKET ST, WARREN, OH 44481-1141
(330) 399-6451
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.343740
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0033150
OH
Other
Enumeration date
07/17/2022
Last updated
05/13/2024
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