Individual
MELINA MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-5000
Mailing address
6943 W TETHER TRL, PEORIA, AZ 85383-7032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN213807
AZ
163WS0200X
School Registered Nurse
Primary
RN213807
AZ
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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