Provider Demographics
NPI:1194798603
Name:VANCE, MELISSA ANNE (NP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ANNE
Last Name:VANCE
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Gender:F
Credentials:NP
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Mailing Address - Street 1:5800 LANDERBROOK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-6510
Mailing Address - Country:US
Mailing Address - Phone:216-417-3250
Mailing Address - Fax:216-417-3251
Practice Address - Street 1:CLEVELAND CLINIC FOUNDATION
Practice Address - Street 2:9500 EUCLID AVENUE; A 61
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-4480
Practice Address - Fax:216-636-1771
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
OHNP07798363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNP16891Medicare ID - Type Unspecified
OHQ30848Medicare UPIN