Individual
LIDYA ADMASSU MELESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
313 BASANITE PL, CARY, NC 27519-5426
(919) 491-2321
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
239913
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6271
NC
Other
Enumeration date
03/13/2019
Last updated
08/28/2025
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