Caustrita, Melanie Ann

Caustrita, Melanie Ann is an individual health care provider with primary practice located at 830 W High St Ste 360 , Lima OH 45801-3985. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Caustrita, Melanie Ann can be contacted via phone (419) 227-7117.

Contact Information

Primary practice address
830 W High St Ste 360 Lima OH 45801-3985
Phone: (419) 227-7117
Fax: (419) 227-2848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APRN.CNP.13124 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18736 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.13124- NP Ohio

Profile Details

NPI number 1316219397
LBN Legal business name Caustrita, Melanie Ann
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2012
Last updated Oct 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316219397 NPPES
Ohio MEDICAID 0065971

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