Individual
ALICYN MELLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(612) 812-4007
Mailing address
60 11TH ST NE APT 2021, ATLANTA, GA 30309-4388
(612) 812-4007
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN322729
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2023
Last updated
08/15/2023
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