Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | COA.05635-NP | OH |
NPI | 1184778821 |
---|---|
Provider Name | Ms. Melissa Marie Nurre |
First Address | Cincinnati, OH 45219 |
Second Address | Cincinnati, OH 45219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 25/04/2012 |