Healthcare Provider Details

I. General information

NPI: 1194496026
Provider Name (Legal Business Name): KRISTIN MELENDEZ DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7140 E ROSEWOOD ST STE 110
TUCSON AZ
85710-1346
US

IV. Provider business mailing address

2470 S SAINT THOMAS AQUINAS DR
TUCSON AZ
85713-7418
US

V. Phone/Fax

Practice location:
  • Phone: 480-210-3407
  • Fax: 573-240-9791
Mailing address:
  • Phone: 520-891-5470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number218640
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number218640
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: