Peterson, Melissa R

Peterson, Melissa R is an individual health care provider with primary practice located at 1760 E Pecos Rd Suite 516, Gilbert AZ 85295-3200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Peterson, Melissa R can be contacted via phone (480) 814-1910.

Contact Information

Primary practice address
1760 E Pecos Rd Suite 516 Gilbert AZ 85295-3200
Phone: (480) 814-1910
Fax: (480) 857-2667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP4400 Arizona

Profile Details

NPI number 1013280296
LBN Legal business name Peterson, Melissa R
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2012
Last updated Nov 22nd, 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 1013280296 NPPES
Arizona MEDICAID 697276

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