Individual
MELISSA DAWN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1075588
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3003146
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300044747
—
IN
05
—
74001967
—
KY
Enumeration date
07/19/2006
Last updated
03/01/2023
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