Provider Demographics
NPI:1962720946
Name:CALHOUN, MELODY (RN)
Entity type:Individual
Prefix:MS
First Name:MELODY
Middle Name:
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3658 WOODFORD RD
Mailing Address - Street 2:301
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-2186
Mailing Address - Country:US
Mailing Address - Phone:513-236-3766
Mailing Address - Fax:
Practice Address - Street 1:3658 WOODFORD RD
Practice Address - Street 2:301
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-2186
Practice Address - Country:US
Practice Address - Phone:513-236-3766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH348825163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse