Individual
MELINDA CHARLENE PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13700 W GREENWAY RD, SURPRISE, AZ 85374-5291
(623) 876-7704
(623) 876-7711
Mailing address
17028 W CENTRAL ST, SURPRISE, AZ 85388-1301
(623) 876-7704
(623) 876-7711
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP039849
AZ
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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