Individual
MELANIE A WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 551-1795
Mailing address
1817A MADISON ST, STE 1, CLARKSVILLE, TN 37043-2930
(931) 551-1795
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
120867
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3629937
—
TN
Enumeration date
05/03/2006
Last updated
01/13/2009
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