Deyoung, Melanie Denise

Deyoung, Melanie Denise is an individual health care provider with primary practice located at 4320 E. Presidio Street #101, Mesa AZ 85215-1165. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Deyoung, Melanie Denise can be contacted via phone (480) 706-9430.

Contact Information

Primary practice address
4320 E. Presidio Street #101 Mesa AZ 85215-1165
Phone: (480) 706-9430
Fax: (480) 378-2273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2872 Arizona

Profile Details

NPI number 1467406264
LBN Legal business name Deyoung, Melanie Denise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467406264 NPPES
Arizona MEDICAID 813594

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