Provider Demographics
NPI:1841700051
Name:VALMORIA, MELISA SAYSON (PA)
Entity type:Individual
Prefix:MS
First Name:MELISA
Middle Name:SAYSON
Last Name:VALMORIA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:304 S MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:PORTALES
Mailing Address - State:NM
Mailing Address - Zip Code:88130-6218
Mailing Address - Country:US
Mailing Address - Phone:575-226-3023
Mailing Address - Fax:575-226-3024
Practice Address - Street 1:304 S MAIN AVE
Practice Address - Street 2:
Practice Address - City:PORTALES
Practice Address - State:NM
Practice Address - Zip Code:88130-6218
Practice Address - Country:US
Practice Address - Phone:575-226-3023
Practice Address - Fax:575-226-3024
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2023-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA307133363A00000X
NMPA2019-0013363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant