Individual
MELISSA MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 48236-3610
(800) 653-6568
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704271303
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704271303
MI
367500000X
Certified Registered Nurse Anesthetist
RN643881
PA
Other
Enumeration date
03/23/2015
Last updated
01/13/2022
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