Provider Demographics
NPI:1427600493
Name:SAPPER, MELISSA MARIE (APRN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:SAPPER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 NORTH AVE STE G10
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-2011
Mailing Address - Country:US
Mailing Address - Phone:234-867-6233
Mailing Address - Fax:234-312-2425
Practice Address - Street 1:60 NORTH AVE STE G10
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-2011
Practice Address - Country:US
Practice Address - Phone:234-867-6233
Practice Address - Fax:234-312-2425
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP024984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily