Individual
MELANIE R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
105 GROTON DR, WESTERVILLE, OH 43081-1249
(614) 949-0498
Mailing address
105 GROTON DR, WESTERVILLE, OH 43081-1249
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0030505
OH
Other
Enumeration date
05/07/2022
Last updated
08/23/2023
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