Individual
MELISSA R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1760 E PECOS RD, SUITE 516, GILBERT, AZ 85295-3200
(480) 814-1910
(480) 857-2667
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
(480) 857-2667
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP4400
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
697276
—
AZ
Enumeration date
02/17/2012
Last updated
11/22/2023
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