Individual
MS. MELISSA LYNN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3700 PARK EAST DR, BEACHWOOD, OH 44122-4305
(216) 545-8107
Mailing address
6780 MAYFIELD RD, CLEVELAND, OH 44124-2203
(440) 312-4500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
300078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032631
—
OH
Enumeration date
02/10/2010
Last updated
06/05/2025
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