Individual
MELISSA LYNN MOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2510 W DUNLAP AVE, PHOENIX, AZ 85021-2737
(970) 310-7517
Mailing address
2123 S COLT DR, GILBERT, AZ 85295-3446
(970) 310-7517
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP5677
AZ
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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