Individual
MELODY L STONESTREET
Active
Individual
MELODY L STONESTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
37500
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706470
MSBCBS GROUP
WV
01
—
001713624
BCBS
WV
05
—
0066794000
—
WV
05
—
0207026000
—
WV
01
—
27005299700
BRICKSTREET
WV
01
—
270052997002
TRICARE
WV
01
—
DA0096
RR MEDICARE
WV
01
—
P00001157
RR MEDICARE
WV
Enumeration date
07/02/2006
Last updated
05/13/2008
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