Individual
MELISSA TINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 PASEO DEL PUEBLO SUR STE C, TAOS, NM 87571-5328
(575) 758-1414
Mailing address
PO BOX 1708, EL PRADO, NM 87529-1708
(619) 804-6298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
54296
NM
363LF0000X
Family Nurse Practitioner
AP60775645
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP60775645
WA
Other
Enumeration date
03/21/2018
Last updated
04/30/2021
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