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Individual

MELANIE TUCKER ELLENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(412) 647-3260
(412) 647-6290
Mailing address
705 S BRADDOCK AVE, PITTSBURGH, PA 15221-3417
(804) 627-2819

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
118724
VA

Other

Enumeration date
01/02/2018
Last updated
02/10/2020
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