MEDICARE: MELANIE A COLEMAN CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	071167	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4072328	OTHER	TN	BCBS NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154320026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE A COLEMAN CRNA

Provider Business Mailing Address
First Line	:	849 LAKEMONT DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37220-2110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	849 LAKEMONT DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37220-2110
Country	:	US
Telephone Number	:	615-429-8334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/27/2011

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