Basic Information
| Provider Information | |||||||||
| NPI: | 1720402936 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KARRH | ||||||||
| FirstName: | MELISSA | ||||||||
| MiddleName: | CALLAN | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 BEACON PKWY W STE 201 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352093123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058703520 | ||||||||
| FaxNumber: | 2058703522 | ||||||||
| Practice Location | |||||||||
| Address1: | 5315 MILLENNIUM DR | ||||||||
| Address2: | |||||||||
| City: | HUTNSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358062458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2569646700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2014 | ||||||||
| LastUpdateDate: | 12/22/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 1-049399 | AL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.