Provider Demographics
NPI:1942059308
Name:MCMASTER, MELANIE LARISSA
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:LARISSA
Last Name:MCMASTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1843 PAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1557
Mailing Address - Country:US
Mailing Address - Phone:419-819-5765
Mailing Address - Fax:
Practice Address - Street 1:1843 PAYNE AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1557
Practice Address - Country:US
Practice Address - Phone:419-819-5765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty