Individual
MELANIE ANN FREDERIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054
(480) 342-4200
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP4768
AZ
363L00000X
Nurse Practitioner
RN129519
AZ
363LF0000X
Family Nurse Practitioner
AP4768
AZ
Other
Enumeration date
12/13/2012
Last updated
09/10/2020
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