Individual
MELISSA JAYNE ASSAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC DNP
Contact information
Practice address
5310 W THUNDERBIRD RD STE 301, GLENDALE, AZ 85306-4710
(602) 865-4442
(602) 865-4507
Mailing address
5310 W THUNDERBIRD RD STE 301, GLENDALE, AZ 85306-4710
(602) 865-4442
(602) 865-4507
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP3929
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740586593
—
AZ
Enumeration date
01/26/2011
Last updated
10/23/2018
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