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NPI Code Detail

MEDICARE: MELANIE SUE ARNTZ FNP

MEDICARE: MELANIE SUE ARNTZ 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
1363LF0000XFamily Nurse Practitioner000026638N1OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407830284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE SUE ARNTZ FNP
Provider Business Mailing Address
First Line : 229 N EGAN AVE
Second Line :
City : BURNS
State : OR
Zip : 97720-1741
Country : US
Telephone Number : 541-573-6126
Fax Number :
Provider Business Practice Location Address
First Line : 229 N EGAN AVE
Second Line :
City : BURNS
State : OR
Zip : 97720-1741
Country : US
Telephone Number : 541-573-6126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 07/08/2007

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Directions to “ MELANIE SUE ARNTZ FNP” Practice Location

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