Mellissa Dianne Pennington in Gulf Breeze - Nurse Anesthetist, Certified Registered

Mellissa Dianne Pennington - NPI 1144222662

Mellissa Dianne Pennington is a Nurse Anesthetist, Certified Registered in Gulf Breeze, Florida. Mellissa Dianne Pennington practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mellissa Dianne Pennington is 1144222662. The last update date is 2007-07-08.

Mellissa Dianne Pennington's current location address is 4 Ocean View Dr, Gulf Breeze, Florida. You can contact this provider via phone number 8509348157. The mailing address for Mellissa Dianne Pennington is 4 Ocean View Dr, Gulf Breeze, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mellissa Dianne Pennington
Address 4 Ocean View Dr, Gulf Breeze, Florida
Phone Number 8509348157
Fax Number
Sole Proprietor Y
Credentials CRNA

NPI Number Detail

NPI Number 1144222662
Provider Enumeration Date 2005-08-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4 Ocean View Dr
City Gulf Breeze
State Florida (FL)
Post Code 325612436
Phone Number 8509348157
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No ARNP9212211
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G3473 FL BLUE CROSS & BLUE SHIELD
59170994 AL BLUE CROSS & BLUE SHIELD

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FAQs about Mellissa Dianne Pennington

What is the unique identifier code issued to Mellissa Dianne Pennington by the Centers for Medicare & Medicaid Services (CMS)?

The Mellissa Dianne Pennington has been assigned the NPI (National Provider Identifier) 1144222662. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Mellissa Dianne Pennington is physically located?

The Mellissa Dianne Pennington is physically situated at the following address: 4 Ocean View Dr, Gulf Breeze, FL, 325612436.

What is the area of specialization for Mellissa Dianne Pennington, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mellissa Dianne Pennington is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.

When did Mellissa Dianne Pennington receive its 1144222662 assignment?

The Mellissa Dianne Pennington was assigned its 1144222662 on 2005-08-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Mellissa Dianne Pennington last refreshed?

The information related to the Mellissa Dianne Pennington, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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