Mello, Derek

Mello, Derek is an sole proprietor health care provider with primary practice located at 13203 N 103Rd Ave Ste H5 , Sun City AZ 85351-3032. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Mello, Derek can be contacted via phone (623) 777-4747.

Contact Information

Primary practice address
13203 N 103Rd Ave Ste H5 Sun City AZ 85351-3032
Phone: (623) 777-4747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP7907 Arizona

Profile Details

NPI number 1366824054
LBN Legal business name Mello, Derek
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2015
Last updated Feb 12th, 2019 - about 6 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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