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NPI Code Detail

MEDICARE: NAZ MUA LLC

MEDICARE: NAZ MUA LLC
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
1363LA2200XAdult Health Nurse Practitioner
2111NN0400XNeurology Chiropractor
3207K00000XAllergy & Immunology Physician
4208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1457173312
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAZ MUA LLC
Provider Business Mailing Address
First Line : 1501 S YALE ST STE 250
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-7336
Country : US
Telephone Number : 928-556-0707
Fax Number : 928-250-5337
Provider Business Practice Location Address
First Line : 1501 S YALE ST STE 250
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-7336
Country : US
Telephone Number : 928-556-0707
Fax Number : 928-250-5337
Authorized Official
Title or Position : NURSE PRACTITONER
Name : MELISSA CARONE
Credential : NP
Telephone Number : 928-556-0707
Provider Enumeration Date : 10/30/2024
Last Update Date : 12/11/2025

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Directions to “NAZ MUA LLC ” Practice Location

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