| NPI | 1457505984 |
|---|---|
| Former Name | MELISSA FAWN STAATS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV APRN46602) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.339875) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.10400) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2019-12-03 |