Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 020908 | OH |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN.CNP.020908 | OH |
NPI | 1215437009 |
---|---|
Provider Name | Melissa Waldman |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2018 |
Last Update Date | 02/07/2019 |