Healthcare Provider Details

I. General information

NPI: 1831283019
Provider Name (Legal Business Name): MELINDA JO WHITSELL N.M.D., N.P.-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2058 SOUTH DOBSON ROAD # 11
MESA AZ
85202
US

IV. Provider business mailing address

2058 SOUTH DOBSON ROAD # 11
MESA AZ
85202
US

V. Phone/Fax

Practice location:
  • Phone: 480-831-7970
  • Fax: 480-831-7971
Mailing address:
  • Phone: 480-831-7970
  • Fax: 480-831-7971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP2509
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number03-738
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: