Individual
MELISSA P MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-3901
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-3901
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
61056
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696871
—
LA
Enumeration date
03/09/2007
Last updated
07/08/2007
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