Provider Demographics
NPI:1104641745
Name:ROMBOLA, MELISSA ASHLEY (RN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ASHLEY
Last Name:ROMBOLA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ASHLEY
Other - Last Name:HUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:106 WATERCREST DR
Mailing Address - Street 2:
Mailing Address - City:RED HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18076-1494
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:106 WATERCREST DR
Practice Address - Street 2:
Practice Address - City:RED HILL
Practice Address - State:PA
Practice Address - Zip Code:18076-1494
Practice Address - Country:US
Practice Address - Phone:267-640-1985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN680282163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse