Individual
MELISSA PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
(901) 595-3300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183386
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
22850
TN
367500000X
Certified Registered Nurse Anesthetist
901508
MS
Other
Enumeration date
03/09/2017
Last updated
02/07/2025
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