Melissa Dawn Thornton, RN
Individual provider Active NPI Registered Nurse · Cleves, OH
NPI 1336723311 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1336723311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28261433C (IN)
- Practice address
- 390 E State Rd
Cleves, OH 45002-1358 - Phone
- (937) 779-6428
- NPI assigned
- May 6, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 28261433C | IN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28261433C | IN | Yes |
Addresses
Primary practice location
390 E State Rd
Cleves, OH 45002-1358
Mailing address
390 E State Rd
Cleves, OH 45002-1358
Phone (937) 779-6428
Other providers in Cleves, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. 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.