Individual
MRS. MELINDA S RAKESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2637 E ATLANTIC BLVD, #39942, POMPANO BEACH, FL 33062-4939
(419) 410-5758
Mailing address
2637 E ATLANTIC BLVD, #39942, POMPANO BEACH, FL 33062-4939
(419) 410-5758
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
254403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104341115
MICHIGAN MEDICAID
MI
05
—
2181508
—
OH
01
—
430065755
RAILROAD MEDICARE
OH
Enumeration date
07/13/2005
Last updated
04/14/2017
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