MELISSA CAROL BLACKWOOD

MARYVILLE, TN
NPI1043547524
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  APN14537)
Enumeration Date2009-11-04
Last Update Date2019-08-27
Business Address
MELISSA CAROL BLACKWOOD CRNA
907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5015
Phone number: 865-983-7211
Mailing Address
MELISSA CAROL BLACKWOOD CRNA
PO BOX 3181
INDIANAPOLIS, IN 46206-3181
Phone number: 317-614-9863
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