Individual
MRS. REGINA M MELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
JPMC ANESTHESIA DEPARTMENT, 3500 EAST FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 331-1555
(918) 331-1695
Mailing address
PO BOX 3456, BARTLESVILLE, OK 74006-3456
(918) 333-4100
(918) 333-4106
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0067269
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200025940A
—
OK
Enumeration date
09/05/2006
Last updated
07/18/2011
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