Individual
MELISSA MICHELLE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2100 S TRIVIZ DR STE F, LAS CRUCES, NM 88001-0601
(575) 556-1849
(575) 532-2030
Mailing address
4886 CALLE BELLA AVE, LAS CRUCES, NM 88012-7055
(575) 491-4764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03472
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP-03472
NEW MEXICO CNP LICENSE
NM
Enumeration date
01/09/2018
Last updated
06/11/2019
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