Individual
DR. MELISSA JEAN VODICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 323-3344
(602) 323-3496
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN163432
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
309602
AZ
Other
Enumeration date
08/12/2020
Last updated
07/08/2024
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