Provider Demographics
NPI:1003499617
Name:NOA DE LA PAZ, MELISA (MD)
Entity Type:Individual
Prefix:
First Name:MELISA
Middle Name:
Last Name:NOA DE LA PAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:966 BARTLEY ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-2641
Mailing Address - Country:US
Mailing Address - Phone:812-996-5425
Mailing Address - Fax:
Practice Address - Street 1:966 BARTLEY ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-2641
Practice Address - Country:US
Practice Address - Phone:812-996-5425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-01
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11023042A390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program