Individual
MELISSA MORRIS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1202 N MUSKOGEE PL, CLAREMORE, OK 74017
(918) 341-2556
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127604
OK
367500000X
Certified Registered Nurse Anesthetist
ARNP9307198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002635500
—
FL
05
—
121983
—
AL
01
—
593-05424
BLUE CROSS BLUE SHIELD
AL
01
—
G00HP
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/27/2010
Last updated
08/17/2018
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