Melody Lust
Individual provider Active NPI Registered Nurse · Prospect, OH
NPI 1003257791 · NPPES record last updated Jul 10, 2013
Key facts
- NPI
- 1003257791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.198370 (OH)
- Practice address
- 376 Newmans Cardington Rd W
Prospect, OH 43342-9759 - Phone
- (740) 802-7211
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.198370 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.198370 | OH | Yes |
Addresses
Primary practice location
376 Newmans Cardington Rd W
Prospect, OH 43342-9759
Mailing address
376 Newmans Cardington Rd W
Prospect, OH 43342-9759
Phone (740) 802-7211
Other providers in Prospect, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.