Individual
MELISSA REGINA LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN-BC, CCRN
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(516) 462-0705
Mailing address
425 JACKSON ST, OCEANSIDE, NY 11572-1707
(516) 462-0705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
702914
NY
Other
Enumeration date
02/21/2024
Last updated
06/19/2024
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