Individual
MS. MELYNDA KAYE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, APRN
Contact information
Practice address
151 ROUTE 10 N UNIT 2, GRANTHAM, NH 03753-3621
(603) 309-3902
(603) 843-8176
Mailing address
151 ROUTE 10 N UNIT 2, GRANTHAM, NH 03753-3621
(603) 309-3902
(603) 843-8176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
040072-23-11
NH
367500000X
Certified Registered Nurse Anesthetist
040072-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008569
—
NH
05
—
1008569
—
VT
Enumeration date
01/06/2006
Last updated
04/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us