Individual provider · Type 1 NPI
Melissa A. Dazo
Pediatric Nurse Practitioner · Washington, DC
NPI number
1013593771
Active
Practice location
111 Michigan Ave NW
Washington, DC 20010-2916
Mailing address
PO Box 744785
Atlanta, GA 30374-4785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN1038231 (DC) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN1038231 (DC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1013593771
Melissa A. Dazo's National Provider Identifier is 1013593771, issued on Mar 23, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Washington, DC. The record was last updated on Apr 14, 2021.