Individual
MRS. MELANIE K MOYNAN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
246 PARKS HALL, ATHENS, OH 45701
(740) 593-2516
(740) 593-2905
Mailing address
246 PARKS HALL, ATHENS, OH 45701
(740) 593-2516
(740) 593-2905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.05038-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000671228
ANTHEM
OH
01
—
10047007
BWC
WV
05
—
2110790
—
OH
01
—
305660
UNISON
OH
05
—
3810018096
—
WV
01
—
6190173
CIGNA
OH
Enumeration date
12/19/2006
Last updated
06/06/2013
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