Provider Demographics
NPI:1568797280
Name:BARBER, MELISSA KAYE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:KAYE
Last Name:BARBER
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 1:3253 CHANSON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-9760
Mailing Address - Country:US
Mailing Address - Phone:734-856-3584
Mailing Address - Fax:
Practice Address - Street 1:5301 E HURON RIVER
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-712-9456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.11109367500000X, 367500000X
MI4704209285367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered