Individual
MRS. MELISSA A ACQUAVIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209035977
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
251083
AZ
367500000X
Certified Registered Nurse Anesthetist
CR000769
SD
Other
Enumeration date
12/08/2006
Last updated
07/01/2026
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