Individual
MELISSA ANN LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395
(623) 882-1500
Mailing address
9450 W. CABELA DR. APT 3347, GLENDALE, AZ 85305
(623) 205-7479
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
219327
AZ
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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