Provider Demographics
NPI:1932232964
Name:TURNER, MELISSA ANN (CRNA)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5621 US HIGHWAY 27 N
Mailing Address - Street 2:SUITE B
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1212
Mailing Address - Country:US
Mailing Address - Phone:863-402-2100
Mailing Address - Fax:
Practice Address - Street 1:5621 US HIGHWAY 27 N
Practice Address - Street 2:SUITE B
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1212
Practice Address - Country:US
Practice Address - Phone:863-402-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3100782367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered