Healthcare Provider Details

I. General information

NPI: 1932232964
Provider Name (Legal Business Name): MELISSA ANN TURNER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5621 US HIGHWAY 27 N SUITE B
SEBRING FL
33870-1212
US

IV. Provider business mailing address

5621 US HIGHWAY 27 N SUITE B
SEBRING FL
33870-1212
US

V. Phone/Fax

Practice location:
  • Phone: 863-402-2100
  • Fax:
Mailing address:
  • Phone: 863-402-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP3100782
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: