Healthcare Provider Details

I. General information

NPI: 1154874030
Provider Name (Legal Business Name): ALLERGY NAVIGATORS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 12/17/2020
Certification Date: 12/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3514 N POWER RD STE 123
MESA AZ
85215-2909
US

IV. Provider business mailing address

3514 N POWER RD STE 123
MESA AZ
85215-2909
US

V. Phone/Fax

Practice location:
  • Phone: 480-827-9945
  • Fax: 877-832-4901
Mailing address:
  • Phone: 480-827-9945
  • Fax: 877-832-4901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP5550
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number2543
License Number StateAZ

VIII. Authorized Official

Name: DR. MELISSA LEANN FERRELL
Title or Position: MEMBER
Credential: DNP FNP-BC
Phone: 480-827-9945