Doctor Name: | MELANIE D MATHENY |
NPI Number: | 1558322669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 33982 |
Business Practice Address: | 809 Farson St Suite 101 Belpre, OH - 457141066 |
Business Phone Number: | 7404010033 |
Business Fax Number: | 7404010039 |
Mailing Address: | Po Box 449, MARIETTA |
State: | OH |
Postal Code: | 457500449 |
Phone Number: | 7403744500 |
Fax Number: | 7403745887 |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 04/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 33982 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |