Individual
MARYELLEN MCMELLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7111 FAIRWAY DR, SUITE 450, PALM BEACH GARDENS, FL 33418-4204
(561) 623-2021
Mailing address
3228 QUINCEY XING, CONYERS, GA 30013-6385
(404) 358-4354
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9322064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9322064
ARNP LICENSE
FL
Enumeration date
01/07/2011
Last updated
05/13/2024
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