Individual
MELISSA MARIE PANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FNP-BC
Contact information
Practice address
3645 S ROME ST STE 204, GILBERT, AZ 85297
(623) 777-4747
Mailing address
13203 N 103RD AVE STE H5, SUN CITY, AZ 85351-3032
(623) 777-4747
(623) 777-4748
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN148673
AZ
363L00000X
Nurse Practitioner
1971656
ID
363LF0000X
Family Nurse Practitioner
Primary
AP5308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882418
—
AZ
Enumeration date
04/29/2013
Last updated
10/13/2025
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