Individual
MELISSA D WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-3500
(606) 437-1033
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-3500
(606) 437-1033
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
050398
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
3005271
KY
367500000X
Certified Registered Nurse Anesthetist
44760
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2605012000
—
WV
01
—
P00421310
RAILROAD MEDICARE
KY
Enumeration date
07/28/2006
Last updated
10/05/2022
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