Organization
TWIN PEAKS ACQUAVIVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A ACQUAVIVA CRNA (OWNER)
(928) 699-1421
Entity
Organization
Contact information
Practice address
1987 N METEOR DR, FLAGSTAFF, AZ 86001-1144
(928) 699-1421
Mailing address
1987 N METEOR DR, FLAGSTAFF, AZ 86001-1144
(928) 699-1421
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
05/13/2026
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