Caustrita, Melanie Ann
Caustrita, Melanie Ann is an individual health care provider with primary practice located at 830 W High St Ste 360 , Lima OH 45801-3985. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Caustrita, Melanie Ann can be contacted via phone (419) 227-7117.Contact Information
Primary practice address
830 W High St Ste 360
Lima OH 45801-3985
Phone: (419) 227-7117
Fax: (419) 227-2848
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | APRN.CNP.13124 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 18736 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | COA.13124- NP | Ohio |
Profile Details
NPI number | 1316219397 |
---|---|
LBN Legal business name | Caustrita, Melanie Ann |
Credentials | ACNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 6th, 2012 |
Last updated | Oct 24th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316219397 | NPPES |
Ohio | MEDICAID | 0065971 |
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