Provider Demographics
NPI:1669843769
Name:YAP, MELISSA (ARNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:YAP
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:BANNER MD ANDERSON - PHOENIX
Mailing Address - Street 2:1441 N. 12TH ST
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:602-521-3700
Mailing Address - Fax:602-521-3701
Practice Address - Street 1:BANNER MD ANDERSON - PHOENIX
Practice Address - Street 2:1441 N. 12TH ST
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-521-3700
Practice Address - Fax:602-521-3701
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95003035207Q00000X
FLARNP9442361363L00000X
AZ220600363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine