Melanie Licole Toth, RN
Individual provider Active NPI General Practice Registered Nurse · Shawnee, OH
NPI 1124532015 · NPPES record last updated Nov 30, 2017
Key facts
- NPI
- 1124532015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- RN.335993 (OH)
- Practice address
- 7230 Old Town Rd SE
Shawnee, OH 43782-9756 - Phone
- (740) 605-7751
- NPI assigned
- Nov 30, 2017
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.335993 | OH | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN.335993 | OH | Yes |
Addresses
Primary practice location
7230 Old Town Rd SE
Shawnee, OH 43782-9756
Mailing address
7230 Old Town Rd SE
Shawnee, OH 43782-9756
Phone (740) 605-7751
Other providers in Shawnee, OH
All providers in Shawnee, OH · General Practice Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2017. 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.