Basic Information
| Provider Information | |||||||||
| NPI: | 1720389893 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBERTSON | ||||||||
| FirstName: | MELINDA | ||||||||
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| Credential: | R.N., CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 161 BRIGHTON RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432021021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6147835633 | ||||||||
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| Practice Location | |||||||||
| Address1: | 700 CHILDRENS DR | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432052664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6147222000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/05/2010 | ||||||||
| LastUpdateDate: | 11/05/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | COA. 11969-NP | OH | Y | Hospitals | General Acute Care Hospital | Children |
No ID Information.