Healthcare Provider Details

I. General information

NPI: 1669843769
Provider Name (Legal Business Name): MELISSA YAP ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA SPENCER

II. Dates (important events)

Enumeration Date: 10/14/2015
Last Update Date: 08/06/2025
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 E. MCDOWELL RD
PHOENIX AZ
85006
US

IV. Provider business mailing address

925 E. MCDOWELL RD
PHOENIX AZ
85006
US

V. Phone/Fax

Practice location:
  • Phone: 602-521-3700
  • Fax: 602-521-3701
Mailing address:
  • Phone: 602-521-3700
  • Fax: 602-521-3701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number95003035
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9442361
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number220600
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: