Melissa Blue
Individual provider Active NPI Infusion Therapy Registered Nurse · Martinez, GA
NPI 1851044754 · NPPES record last updated Jan 31, 2022
Key facts
- NPI
- 1851044754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infusion Therapy Registered Nurse 163WI0500X
- License
- R050990 (SD)
- Practice address
- 4804 Technology Dr
Martinez, GA 30907-2605 - Phone
- (706) 339-4142
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R050990 | SD | MD | Infusion Therapy Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | R050990 | SD | Yes |
Addresses
Primary practice location
4804 Technology Dr
Martinez, GA 30907-2605
Mailing address
4804 Technology Dr
Martinez, GA 30907-2605
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | bluealchemyme.com | Direct |
Other providers in Martinez, GA
- Lillie Blackwell
- Gretchen Green Blanchard
- Jervis Blanding
- Michael W Blaney
- Blessed Hands Wellness Spa LLC
- Cameo Blundstone
- Westin Bobadilla
- Edward H Boland
- Linda Elizabeth Bolt
- Zaniya Bond
All providers in Martinez, GA · Infusion Therapy Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.