Provider Demographics
NPI:1154645505
Name:ROWE, MELANIE SUSANNE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:SUSANNE
Last Name:ROWE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4150 V STREET, PSSB SUITE 1200
Mailing Address - Street 2:UCDMC DEPT OF ANESTHESIOLOGY AND PAIN MEDICINE
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1460
Mailing Address - Country:US
Mailing Address - Phone:916-734-5028
Mailing Address - Fax:916-734-7980
Practice Address - Street 1:4150 V STREET, PSSB SUITE 1200
Practice Address - Street 2:UCDMC DEPT OF ANESTHESIOLOGY AND PAIN MEDICINE
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-5028
Practice Address - Fax:916-734-7980
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA577008367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered