Individual
MELYNDA FENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19805 N 51ST AVE STE 33, GLENDALE, AZ 85308-5198
(602) 540-3547
Mailing address
19805 N 51ST AVE STE 33, GLENDALE, AZ 85308-5198
(602) 540-3547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
225667
AZ
363LF0000X
Family Nurse Practitioner
Primary
225667
AZ
Other
Enumeration date
05/03/2019
Last updated
07/13/2023
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