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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467406264 | NPPES |
Arizona | MEDICAID | 813594 |
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