Provider Demographics
NPI:1588431746
Name:ZELL, MELISSA (LSW)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:ZELL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5513 STATE ROUTE 274 E
Mailing Address - Street 2:
Mailing Address - City:RUSHSYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43347-7501
Mailing Address - Country:US
Mailing Address - Phone:937-935-3306
Mailing Address - Fax:
Practice Address - Street 1:5513 STATE ROUTE 274 E
Practice Address - Street 2:
Practice Address - City:RUSHSYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43347-7501
Practice Address - Country:US
Practice Address - Phone:937-935-3306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant