Individual
MELANIE NEZTSOSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
ARIZONA HIGHWAY 264 AND HIGHWAY 191 SOUTH, SAGE MEMORIAL HOSPITAL, GANADO, AZ 86505-0457
(928) 755-4500
Mailing address
PO BOX 457, SAGE MEMORIAL HOSPITAL, GANADO, AZ 86505-0457
(928) 755-4500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN118177
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP5195
AZ
Other
Enumeration date
02/09/2007
Last updated
11/13/2013
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