Individual
MELISSA KIVISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2132 E. OCOTILLO RD., QUEEN CREEK, AZ 85142
(480) 577-2600
Mailing address
9603 E THUNDERBOLT AVE, MESA, AZ 85212-6442
(480) 577-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
317137
AZ
Other
Enumeration date
10/10/2024
Last updated
03/18/2025
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