Melissa Jane Petty in Los Alamos - Neonatal
Melissa Jane Petty - NPI 1790748168
Melissa Jane Petty is a Neonatal in Los Alamos, New Mexico. Melissa Jane Petty practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Melissa Jane Petty is 1790748168. The last update date is 2023-07-11.
Melissa Jane Petty's current location address is 3917 West Rd, Los Alamos, New Mexico. You can contact this provider via phone number 5056619230. The mailing address for Melissa Jane Petty is 3917 West Rd, Los Alamos, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Jane Petty |
|---|---|
| Address | 3917 West Rd, Los Alamos, New Mexico |
| Phone Number | 5056619230 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1790748168 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2023-07-11 |
Provider Mailing Address Detail
| Address | 3917 West Rd |
|---|---|
| City | Los Alamos |
| State | New Mexico (NM) |
| Post Code | 875442275 |
| Phone Number | 5056619230 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | CNP-03454 |
|
Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500008494 | TX | RR/MEDICARE | |
| 82N617 | TX | BLUE SHIELD | |
| 0292880-02 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Melissa Jane Petty by the Centers for Medicare & Medicaid Services?
The Melissa Jane Petty has been issued the NPI (National Provider Identifier) 1790748168 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Melissa Jane Petty located?
The Melissa Jane Petty is located at 3917 West Rd, Los Alamos, NM 875442275.
What is Melissa Jane Petty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Melissa Jane Petty is Neonatal, and the taxonomy code that classifies this field of practice is 363Ln0000X.
When was the Melissa Jane Petty's 1790748168 issued?
The Melissa Jane Petty's 1790748168 was issued on 2006-04-07.
As of what date was the information pertaining to Melissa Jane Petty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Melissa Jane Petty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-07-11.