Individual provider · Type 1 NPI
Melanie Anne Gamble, ARNP
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1104102805
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Fax (602) 546-1918
Mailing address
2510 W Dunlap Ave, Ste 290
Phoenix, AZ 85021-2759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP60172243 (WA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP4322 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104102805
Melanie Anne Gamble, ARNP's National Provider Identifier is 1104102805, issued on Oct 25, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 7, 2016.