| Mrs Melanie Ann Nugent, CPNP | |
|
22044 N 44th St Ste 200, Phoenix, AZ 85050-6104 | |
| (602) 257-7673 | |
| (602) 257-7344 |
| Full Name | Mrs Melanie Ann Nugent |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 22044 N 44th St Ste 200, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003162108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | AP4532 (Arizona) | Primary |
| Entity Name | Banner Physician Super Specialists Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melanie Ann Nugent, CPNP 22044 N 44th St Ste 200, Phoenix, AZ 85050-6104 Ph: (602) 341-5035 | Mrs Melanie Ann Nugent, CPNP 22044 N 44th St Ste 200, Phoenix, AZ 85050-6104 Ph: (602) 257-7673 |
Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581 |
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186 |
Michele A Riep, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 |
Dr. Monica Nassim Jeffers, NMD, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1732 E Sheena Dr, Phoenix, AZ 85022 Phone: 602-330-3420 |
Mrs. Kristin Carol Kolodziej, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3811 E Bell Rd Ste 206, Phoenix, AZ 85032 Phone: 480-680-6000 Fax: 480-306-5966 |
Tyler Ann Brockhoff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 N 16th St Ste F1, Phoenix, AZ 85006 Phone: 623-224-3618 Fax: 623-244-1595 |
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 W Indian School Rd, Phoenix, AZ 85033 Phone: 623-469-1331 |