Individual
MELISSA MCWATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1111
(270) 745-1026
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
205124
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
4031773
KY
Other
Enumeration date
08/25/2021
Last updated
01/15/2025
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