Individual
MRS. MELISSA LITICIA CROSSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(316) 651-6689
Mailing address
1600 N 2ND ST, CLINTON, MO 64735-1297
(660) 885-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011036278
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2012001253
MO
Other
Enumeration date
12/11/2011
Last updated
08/18/2022
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