=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770493843
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BLANCA ABIGAIL MELENDEZ RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2026
-----------------------------------------------------
Last Update Date | 09/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 505 S MAIN ST STE 249
-----------------------------------------------------
City | LAS CRUCES
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88001-1243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-527-6093
-----------------------------------------------------
Fax | 575-527-5886
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 505 S MAIN ST STE 249
-----------------------------------------------------
City | LAS CRUCES
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88001-1243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-527-6093
-----------------------------------------------------
Fax | 575-527-5886
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WS0200X
-----------------------------------------------------
Taxonomy Name | School Registered Nurse
-----------------------------------------------------
License Number | 74351
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------