MEDICARE: MELISSA OGDEN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	TAP2762	AZ
2	363L00000X	Nurse Practitioner	AP2762	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	TAP2762	OTHER	AZ	STATE OF ARIZONA LICENSE

General Provider Information

NPI Number	:	1245439330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA OGDEN FNP

Provider Business Mailing Address
First Line	:	2331 HUALAPAI MOUNTAIN RD STE A
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-6207
Country	:	US
Telephone Number	:	928-773-2280
Fax Number	:	928-773-2281

Provider Business Practice Location Address
First Line	:	2331 HUALAPAI MOUNTAIN RD STE A
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-6207
Country	:	US
Telephone Number	:	928-773-2280
Fax Number	:	928-773-2281

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	02/25/2022

Similar Medicare Providers

1558083923 — MRS. KATIE JEAN COLONNA FNP-C
Practice Location Address:

2331 HUALAPAI MOUNTAIN RD STE F
KINGMAN, AZ
86401-6207

Practice Phone: 928-299-5299
Practice Fax:

1861457855 — ERNEST S MONSON NP
Practice Location Address:

2331 HUALAPAI MOUNTAIN RD STE A
KINGMAN, AZ
86401-6207

Practice Phone: 928-529-5086
Practice Fax: 928-529-5089

1902270424 — QUAIL RIDGE MEDICAL LLC
Practice Location Address:

2331 HUALAPAI MOUNTAIN RD , SUITE A
KINGMAN, AZ
86401-6207

Practice Phone: 928-529-5086
Practice Fax: 928-529-5089

1588130835 — KARRIE ANN COOK NP
Practice Location Address:

2331 HUALAPAI MOUNTAIN RD STE C
KINGMAN, AZ
86401-6207

Practice Phone: 928-565-6655
Practice Fax: 928-565-6578

1497302988 — COOK FAMILY PRACTICE INC
Practice Location Address:

2331 HUALAPAI MOUNTAIN RD STE C
KINGMAN, AZ
86401-6207

Practice Phone: 928-565-6655
Practice Fax: 855-822-3328

1851991947 — GINA MARIE KRISTIANSEN
Practice Location Address:

2331 HUALAPAI MOUNTAIN RD STE C
KINGMAN, AZ
86401-6207

Practice Phone: 928-565-6655
Practice Fax: 928-565-6578

Directions to “ MELISSA OGDEN FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.