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NPI Code Detail

MEDICARE: MELINDA BAEHR NP

MEDICARE:   MELINDA  BAEHR  NP
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
1363LF0000XFamily Nurse PractitionerAP5493AZ

General Provider Information

NPI Number : 1114344157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA BAEHR NP
Provider Business Mailing Address
First Line : 3003 N CENTRAL AVE STE 400
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2929
Country : US
Telephone Number : 602-685-6000
Fax Number : 602-302-7925
Provider Business Practice Location Address
First Line : 4616 N 51ST AVE STE 108
Second Line :
City : PHOENIX
State : AZ
Zip : 85031-1720
Country : US
Telephone Number : 602-685-6000
Fax Number : 602-269-8410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2014
Last Update Date : 12/05/2023

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Directions to “ MELINDA BAEHR NP” Practice Location

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