Individual
MELISSA M DUNCAN
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
R858494
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020046200
RAILROAD MEDICARE
—
05
—
03683207
—
MS
01
—
640507572UR
AMERICAN ADMIN GROUP
MS
Enumeration date
07/24/2006
Last updated
12/15/2010
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