Individual provider · Type 1 NPI
Joshua McMellon, PNP
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1922481035
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Fax (602) 933-9956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN167123 (AZ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP8011 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1922481035
Joshua McMellon, PNP's National Provider Identifier is 1922481035, issued on Jul 7, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 3, 2015.