Healthcare Provider Details

I. General information

NPI: 1467616888
Provider Name (Legal Business Name): MELISSA L. ARRIAGADA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA HOSEA NP

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 W RAVEN DR
CHANDLER AZ
85286-4480
US

IV. Provider business mailing address

732 W RAVEN DR
CHANDLER AZ
85286-4480
US

V. Phone/Fax

Practice location:
  • Phone: 678-761-2408
  • Fax:
Mailing address:
  • Phone: 678-761-2408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-083300
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN222652
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number1-083300
License Number StateAL
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number318328
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: