Provider Demographics
NPI:1497709158
Name:MELBY, JOY LYNN (NP)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:LYNN
Last Name:MELBY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:2550 E BALSAM CT
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-2471
Mailing Address - Country:US
Mailing Address - Phone:480-688-8165
Mailing Address - Fax:480-626-4949
Practice Address - Street 1:3333 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 4
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5015
Practice Address - Country:US
Practice Address - Phone:602-852-0200
Practice Address - Fax:602-852-0381
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN097092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ616268Medicaid
AZ616268Medicaid
AZ114178Medicare PIN