Provider Demographics
NPI:1811396013
Name:NUNEZ-ARZUAGA, MELISA
Entity Type:Individual
Prefix:
First Name:MELISA
Middle Name:
Last Name:NUNEZ-ARZUAGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2171 KINGSBURY CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-4008
Mailing Address - Country:US
Mailing Address - Phone:408-475-6455
Mailing Address - Fax:
Practice Address - Street 1:2171 KINGSBURY CIR
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-4008
Practice Address - Country:US
Practice Address - Phone:408-475-6455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAALPP-39419174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN