MELISSA FAWN BLANKENSHIP

GALLIPOLIS, OH
NPI1457505984
Former NameMELISSA FAWN STAATS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  APRN46602)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OH  RN.339875)
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  APRN.CRNA.10400)
Enumeration Date2008-11-11
Last Update Date2019-12-03
Business Address
MELISSA FAWN BLANKENSHIP CRNA
100 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 855-446-5937
Mailing Address
MELISSA FAWN BLANKENSHIP CRNA
PO BOX 449
MARIETTA, OH 45750-0449
Phone number: 740-374-4500