Provider Demographics
NPI:1720402936
Name:KARRH, MELISSA CALLAN (CRNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:CALLAN
Last Name:KARRH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 BEACON PKWY W STE 201
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3123
Mailing Address - Country:US
Mailing Address - Phone:205-870-3520
Mailing Address - Fax:205-870-3522
Practice Address - Street 1:601 BEACON PKWY W STE 201
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3123
Practice Address - Country:US
Practice Address - Phone:205-870-3520
Practice Address - Fax:205-870-3522
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-049399363LP0808X
AL100493992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL234345Medicaid