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
Primary
251083
AZ
367500000X
Certified Registered Nurse Anesthetist
CR000769
SD
Other
Enumeration date
12/08/2006
Last updated
01/13/2026
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