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Individual

MELISSA SUE WENDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-066170
AL
367500000X
Certified Registered Nurse Anesthetist
4035572
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051556910
AL
01
51531243
BCBS OF AL
AL
Enumeration date
03/23/2006
Last updated
11/11/2025
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