Individual
MELINDA ANN RUSANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 E SOUTHERN AVE, TEMPE, AZ 85282-7649
(480) 756-6965
(480) 384-5678
Mailing address
16813 S 36TH ST, PHOENIX, AZ 85048-7955
(480) 338-0600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
281802
AZ
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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