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Individual

MELVA JEAN ISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
423 N 21ST ST, SUITE 106, CAMP HILL, PA 17011-2207
(717) 975-2430
(717) 730-2158
Mailing address
423 N 21ST ST, SUITE 106, CAMP HILL, PA 17011-2207
(717) 975-2430
(717) 730-2158

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
030168
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1312416
CAPITAL BLUE CROSS
PA
01
S32893
HEALTHAMERICA
PA
Enumeration date
07/20/2005
Last updated
11/01/2007
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