Healthcare Provider Details

I. General information

NPI: 1174995807
Provider Name (Legal Business Name): MELINDA MARIE RAMSDELL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELINDA STINSKI

II. Dates (important events)

Enumeration Date: 10/21/2015
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 S IRONWOOD DR
APACHE JUNCTION AZ
85120-7663
US

IV. Provider business mailing address

2440 S IRONWOOD DR
APACHE JUNCTION AZ
85120-7663
US

V. Phone/Fax

Practice location:
  • Phone: 602-755-0800
  • Fax:
Mailing address:
  • Phone: 602-755-0800
  • Fax: 805-766-9574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP8226
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8226
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: