Individual
MELISSA ANNE GZASKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
66 AVENIDA ALDEA, SANTA FE, NM 87507-9449
(505) 795-7111
Mailing address
66 AVENIDA ALDEA, SANTA FE, NM 87507-9449
(505) 795-7111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R58980
NM
163WI0500X
Infusion Therapy Registered Nurse
R58980
NM
163WM1400X
Nurse Massage Therapist (NMT)
2770
NM
163WP2201X
Ambulatory Care Registered Nurse
R58980
NM
163WX0200X
Oncology Registered Nurse
R58980
NM
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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