Individual
MELISSA D. MACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1613 N HARRISON PKWY, SUITE 200, SUNRISE, FL 33323
(954) 838-2588
(954) 514-3960
Mailing address
P.O. BOX 452317, SUNRISE, FL 33345-2317
(954) 838-2588
(954) 514-3960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3362092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306201500
—
FL
Enumeration date
02/17/2006
Last updated
10/28/2020
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