Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.021212 | OH |
NPI | 1003338310 |
---|---|
Provider Name | Melissa R Myers |
First Address | Stow, OH 44224-1884 |
Second Address | Stow, OH 44224-1884 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2017 |
Last Update Date | 13/07/2017 |