Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN.CNP.026389 | OH |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.026389 | OH |
NPI | 1033744677 |
---|---|
Provider Name | Ms. Melanie Anabel Grynsztejn |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-4522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2020 |
Last Update Date | 05/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NONE | (05) | OH |