Individual
MELINDA JOYCE KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN-AGACNP-BC
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-4375
Mailing address
PO BOX 106, SHOW LOW, AZ 85902-0106
(928) 537-4375
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
TAP5408
AZ
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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