Melvin, Staci

Melvin, Staci is an individual health care provider with primary practice located at 432 King Church Ave Sw , Uniontown OH 44685-5100. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Melvin, Staci can be contacted via phone (330) 877-0781.

Contact Information

Primary practice address
432 King Church Ave Sw Uniontown OH 44685-5100
Phone: (330) 877-0781
Fax: (330) 877-0492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28133158A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002040A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA-111250NP Ohio

Profile Details

NPI number 1144335654
LBN Legal business name Melvin, Staci
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 11th, 2015 - about 9 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144335654 NPPES
Ohio MEDICAID 3031847

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