Individual
MELISSA MARIE HUDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2343 KNOLLWOOD AVE, POLAND, OH 44514-1525
(330) 774-3505
Mailing address
2343 KNOLLWOOD AVE, POLAND, OH 44514-1525
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA-19085
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177333
—
OH
01
—
P01781304
RAILROAD MEDICARE
OH
Enumeration date
12/30/2014
Last updated
04/10/2017
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