Provider Demographics
NPI:1851001564
Name:SCHRODER, MELISSA S (CNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:S
Last Name:SCHRODER
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3147 GLENDALE MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-3134
Mailing Address - Country:US
Mailing Address - Phone:513-346-1270
Mailing Address - Fax:513-346-1243
Practice Address - Street 1:3147 GLENDALE MILFORD RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-3134
Practice Address - Country:US
Practice Address - Phone:513-346-1270
Practice Address - Fax:513-346-1243
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.455844163WP0808X
OHAPRN.CNP.0036859363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health