Blancaneaux, Melonie I

Blancaneaux, Melonie I is an individual health care provider with primary practice located at Tseshootsooi Medical Center Corner Of Route N12 And N7, Fort Defiance AZ 86504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blancaneaux, Melonie I can be contacted via phone (928) 729-8587.

Contact Information

Primary practice address
Tseshootsooi Medical Center Corner Of Route N12 And N7 Fort Defiance AZ 86504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 121575 Alaska

Profile Details

NPI number 1285150664
LBN Legal business name Blancaneaux, Melonie I
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2017
Last updated Aug 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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