Doctor Name: | MELANIE L BIRCH |
NPI Number: | 1003914904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | COA-07903-NP |
Business Practice Address: | 1421 E Market St Warren, OH - 444836609 |
Business Phone Number: | 3303935864 |
Business Fax Number: | 3303939921 |
Mailing Address: | 1421 E Market St, WARREN |
State: | OH |
Postal Code: | 444836609 |
Phone Number: | 3303935864 |
Fax Number: | 3303939921 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | COA-07903-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |