Mellott, Larry Dean

Mellott, Larry Dean is an individual health care provider with primary practice located at 169 Martin Ave , Ephrata PA 17522-1724. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mellott, Larry Dean can be contacted via phone (717) 738-6618.

Contact Information

Primary practice address
169 Martin Ave Ephrata PA 17522-1724
Phone: (717) 738-6618
Fax: (717) 738-6646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN645912 Pennsylvania

Profile Details

NPI number 1053932749
LBN Legal business name Mellott, Larry Dean
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2020
Last updated Mar 27th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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