Individual
MELISSA BLEVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13825 W DESERT COVE RD, SURPRISE, AZ 85379-9702
(503) 876-7160
Mailing address
13825 W DESERT COVE RD, SURPRISE, AZ 85379-9702
(503) 856-6875
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN132064
AZ
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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