Individual
EMILY RENEE MELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-7164
(717) 267-7414
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100185
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN615475
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102960340
—
PA
01
—
12704911
CAQH
—
Enumeration date
05/23/2014
Last updated
03/24/2026
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