Provider Demographics
NPI:1639677289
Name:COMETTI, MELISSA J (DNP, NP-C)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:J
Last Name:COMETTI
Suffix:
Gender:F
Credentials:DNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2735 NORTHRISE DR STE B
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-0897
Mailing Address - Country:US
Mailing Address - Phone:575-532-4399
Mailing Address - Fax:
Practice Address - Street 1:2735 NORTHRISE DR STE B
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-0897
Practice Address - Country:US
Practice Address - Phone:575-532-4399
Practice Address - Fax:575-532-4433
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily