Individual
MELINDA MICHELLE MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 E WIGWAM BLVD., LITCHFIELD PARK, AZ 85340
(623) 535-6184
Mailing address
255 E WIGWAM BLVD., LITCHFIELD PARK, AZ 85340
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN209898
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN209898
RN LICENSE
AZ
Enumeration date
05/14/2018
Last updated
05/14/2018
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