MEDICARE: MRS. JOY LYNN MELBY NP

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	363LF0000X	Family Nurse Practitioner	RN097092	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

General Provider Information

NPI Number	:	1497709158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOY LYNN MELBY NP

Provider Business Mailing Address
First Line	:	2550 E BALSAM CT
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85286-2471
Country	:	US
Telephone Number	:	480-688-8165
Fax Number	:	480-626-4949

Provider Business Practice Location Address
First Line	:	3333 E INDIAN SCHOOL RD
Second Line	:	SUITE 4
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5015
Country	:	US
Telephone Number	:	602-852-0200
Fax Number	:	602-852-0381

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	04/19/2012

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