Most Relevant Information
Provider Data
| NPI Number: | 1003501867 |
| Provider Name: | MELODY NICOLE ISHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN.357121 |
Most Important Dates
| Enumeration Date: | 04/07/2023 |
| Last Updated: | 06/25/2023 |
Provider Practice Location
4401 ROCKSIDE RD
INDEPENDENCE
OH
441312146
Practice Location Phone/Fax
| Phone: | 2165038229 |
| Fax: |
Provider Mailing Location
1611 HANNUM DR
STREETSBORO
OH
442415198
Provider Mailing Phone/Fax
| Phone: | 3309076572 |
| Fax: |