Healthcare Provider Details

I. General information

NPI: 1598067712
Provider Name (Legal Business Name): MELISSA WEAST SLIEFF RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N ARCADIA AVE
TUCSON AZ
85711-3032
US

IV. Provider business mailing address

8822 E LIONS SPRING PL
TUCSON AZ
85747-5658
US

V. Phone/Fax

Practice location:
  • Phone: 520-232-5617
  • Fax:
Mailing address:
  • Phone: 520-232-5617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number207363
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: