Individual
JOSHUA MCMELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3000
(602) 933-9956
Mailing address
1919 E THOMAS RD, BLDG 2108, STE 101, PHOENIX, AZ 85016-7710
(602) 933-1814
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP8011
AZ
363LP0200X
Pediatric Nurse Practitioner
RN167123
AZ
Other
Enumeration date
07/07/2015
Last updated
08/03/2015
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