Individual
MELISSA A MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
311 STRAIGHT ST, MILLENIUM ANESTHESIA LLC, CINCINNATI, OH 45219-1018
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
203008
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200806
ANTHEM BLUE SHIELD
—
05
—
0231789
—
OH
01
—
727946
BUCKEYE
—
05
—
74006263
—
KY
Enumeration date
12/19/2005
Last updated
02/28/2008
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