Individual provider · Type 1 NPI
Melissa Kivisto, FNP
Family Nurse Practitioner · Queen Creek, AZ
NPI number
1649099177
Active
Practice location
2132 E. Ocotillo Rd.
Queen Creek, AZ 85142
Mailing address
9603 E Thunderbolt Ave
Mesa, AZ 85212-6442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 317137 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1649099177
Melissa Kivisto, FNP's National Provider Identifier is 1649099177, issued on Oct 10, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Queen Creek, AZ. The record was last updated on Mar 18, 2025.