Provider Demographics
NPI:1174097471
Name:UNFRIED, MELISSA (FNP-BC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:UNFRIED
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:MEYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20050 HARVARD AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6800
Mailing Address - Country:US
Mailing Address - Phone:162-491-1010
Mailing Address - Fax:216-491-4824
Practice Address - Street 1:20050 HARVARD AVE STE 207
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-6800
Practice Address - Country:US
Practice Address - Phone:162-491-1010
Practice Address - Fax:216-491-4824
Is Sole Proprietor?:No
Enumeration Date:2019-01-20
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF01190852363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily