Most Relevant Information
Provider Data
| NPI Number: | 1003246752 |
| Provider Name: | MELYSSA CARROLL MOONEY CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 0024171487 |
Most Important Dates
| Enumeration Date: | 11/16/2013 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
1001 SAM PERRY BLVD
FREDERICKSBURG
VA
224014453
Practice Location Phone/Fax
| Phone: | 5407417614 |
| Fax: |
Provider Mailing Location
3100 SPRING FOREST RD STE 130
RALEIGH
NC
276162880
Provider Mailing Phone/Fax
| Phone: | 8882809533 |
| Fax: | 9198739821 |