Provider Demographics
NPI:1306010905
Name:DIORIO, MELANIE PAIGE (CRNA, MS)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:PAIGE
Last Name:DIORIO
Suffix:
Gender:F
Credentials:CRNA, MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:129 MOHAWK DR
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-5860
Mailing Address - Country:US
Mailing Address - Phone:501-803-0250
Mailing Address - Fax:501-803-3595
Practice Address - Street 1:2500 HIGHWAY 65 S
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:AR
Practice Address - Zip Code:72031-6588
Practice Address - Country:US
Practice Address - Phone:501-745-7000
Practice Address - Fax:501-745-2472
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC01189367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered