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NPI Code Detail

MEDICARE: MELISSA ANNE KNOWLES CRNA

MEDICARE: MELISSA ANNE KNOWLES 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
1367500000XCertified Registered Nurse Anesthetist27957SC
2367500000XCertified Registered Nurse Anesthetist8145NC

General Provider Information

NPI Number : 1518495910
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANNE KNOWLES CRNA
Provider Business Mailing Address
First Line : PO BOX 603484
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3484
Country : US
Telephone Number : 803-765-1838
Fax Number : 803-765-1732
Provider Business Practice Location Address
First Line : 2095 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5733
Country : US
Telephone Number : 843-402-1436
Fax Number : 843-402-1833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 02/05/2026

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Directions to “ MELISSA ANNE KNOWLES CRNA” Practice Location

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