Individual
MELISSA MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1301 15TH AVE W, ADMINISTRATION, WILLISTON, ND 58801-3821
(701) 774-7401
(701) 774-7479
Mailing address
1301 15TH AVE W, ADMINISTRATION, WILLISTON, ND 58801-3821
(701) 774-7401
(701) 774-7479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R36966
ND
Other
Enumeration date
11/11/2011
Last updated
06/14/2017
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