Individual
MELISSA SUE MILBOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
777 COLUMBUS AVE, LEBANON, OH 45036-1684
(937) 528-3923
Mailing address
173 SHOEMAKER DR, LOVELAND, OH 45140-7788
(419) 309-4682
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
381351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/07/2020
Last updated
04/07/2020
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