MEDICARE: MELANIE RITZ ODIVELAS AMAGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	874270	NV

General Provider Information

NPI Number	:	1013734987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE RITZ ODIVELAS AMAGO

Provider Business Mailing Address
First Line	:	10712 MERIDIAN MILLS RD
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-8686
Country	:	US
Telephone Number	:	702-927-2618
Fax Number	:

Provider Business Practice Location Address
First Line	:	10712 MERIDIAN MILLS RD
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-8686
Country	:	US
Telephone Number	:	702-927-2618
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2024
Last Update Date	:	09/23/2024

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Directions to “ MELANIE RITZ ODIVELAS AMAGO ” Practice Location

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