Individual
MELISSA CHACARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E BETHANY HOME RD STE A207, PHOENIX, AZ 85012-1269
(520) 419-8490
Mailing address
301 E BETHANY HOME RD STE A207, PHOENIX, AZ 85012-1269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279972
AZ
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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