Healthcare Provider Details

I. General information

NPI: 1053236380
Provider Name (Legal Business Name): MELISSA ANN IRELAND PMHNP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 14183
LAS CRUCES NM
88013-4183
US

IV. Provider business mailing address

PO BOX 14183
LAS CRUCES NM
88013-4183
US

V. Phone/Fax

Practice location:
  • Phone: 915-474-4959
  • Fax:
Mailing address:
  • Phone: 915-401-4774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number1227836
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: