Mellissa Dianne Pennington, CRNA

NPI #1144222662 in Gulf Breeze, Florida

Provider Information

NPI Number
1144222662
Entity Type
Individual
Name
Mellissa Dianne Pennington, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 15, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
4 OCEAN VIEW DR
State
Florida
ZIP Code
32561-2436
Phone
(850) 934-8157

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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