Provider Demographics
NPI:1346251014
Name:DAVIS, MELISSA MONAHAN (NP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MONAHAN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:10200 N 92ND ST
Mailing Address - Street 2:STE 225
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4534
Mailing Address - Country:US
Mailing Address - Phone:480-391-3885
Mailing Address - Fax:480-355-6860
Practice Address - Street 1:10200 N 92ND ST
Practice Address - Street 2:STE 225
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4534
Practice Address - Country:US
Practice Address - Phone:480-391-3885
Practice Address - Fax:480-355-6860
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP2387363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP35010Medicare UPIN