person
Melissa Jane Petty, NP
Neonatal Nurse Practitioner in Los Alamos, New Mexico
NPI 1790748168

Melissa Jane Petty is a Neonatal Nurse Practitioner based in Santa Fe, NM and is specialized in Neonatal. Melissa Jane Petty practices in Los Alamos, NM and has the professional credentials of NP. The NPI Number for Melissa Jane Petty is 1790748168 and holds a License No. CNP-03454 (New Mexico).

The current practice location address for Melissa Jane Petty is 3917 West Rd, Los Alamos, NM and can be reached out via phone at 505-661-9230.

Location: 3917 West Rd, Los Alamos, NM, 87507-3533
person
Provider Profile Details
NPI Number
1790748168
Provider Name
Melissa Jane Petty
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3917 West Rd, Los Alamos, NM, 87507-3533
Phone Number
505-661-9230
Fax Number
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500008494 01 TX RR/MEDICARE
0292880-02 05 TX
82N617 01 TX BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3917 West Rd
City
State
Zip
87544-2275
Phone Number
505-661-9230
Fax Number
person
Provider Business Mailing Address Details
Address
3917 West Rd
City
State
Zip
87544-2275
Phone Number
505-661-9230
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
CNP-03454 (New Mexico)
Definition
Definition to come...
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