Individual
MELISAH M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 717-4866
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94731
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101877
NE
Other
Enumeration date
01/30/2024
Last updated
07/17/2024
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