Individual
MELINDA M. KNOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5503
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5503
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN34088-CRNA
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718545
BCBS
WV
05
—
0067309000
—
WV
05
—
0147421
—
OH
01
—
P01591881
MEDICARE RAILROAD - MHCPI
OH
Enumeration date
06/09/2006
Last updated
10/20/2020
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