Individual provider · Type 1 NPI
Melissa Jean Vodicka, DNP, APRN, CPNP
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1245841436
Active
Practice location
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Fax (602) 323-3496
Mailing address
3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908
Other practice locations
- 450 W 6th St, Yuma, AZ 85364-2973 · (928) 502-4300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse | 163WS0200X | RN163432 (AZ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 309602 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1245841436
Melissa Jean Vodicka, DNP, APRN, CPNP's National Provider Identifier is 1245841436, issued on Aug 12, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2024.