Healthcare Provider Details

I. General information

NPI: 1831206622
Provider Name (Legal Business Name): MELISSA FAYE LITTREL C.R.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 OAKFIELD DR
BRANDON FL
33511-5779
US

IV. Provider business mailing address

598 BURLWOOD TER
TARPON SPRINGS FL
34688-7261
US

V. Phone/Fax

Practice location:
  • Phone: 813-985-5992
  • Fax: 813-985-5982
Mailing address:
  • Phone: 727-939-0482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP3014002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: