Individual
MELANIE JOAN WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2100 HWY 61N, RIVER REGION MEDICAL CENTER, VICKSBURG, MS 39183
(601) 883-5000
Mailing address
2100 HWY 61N, RIVER REGION MEDICAL CENTER, VICKSBURG, MS 39183
(601) 883-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-048875
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1 048875
ALABAMA RN/ADVANCED PRACTICE/CRNA LICENSE
AL
01
—
R886621
MISSISSIPPI RN/ADVANCED PRACTICE/CRNA LICENSE
MS
Enumeration date
10/10/2007
Last updated
08/08/2013
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