Individual
MELANIE L HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-4000
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R096173
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062901400
—
MD
Enumeration date
07/17/2006
Last updated
02/19/2020
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