MEDICARE: ALLERGY NAVIGATORS, PLLC

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	207KA0200X	Allergy Physician	2543	AZ
2	363LF0000X	Family Nurse Practitioner	AP5550	AZ

General Provider Information

NPI Number	:	1154874030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY NAVIGATORS, PLLC

Provider Business Mailing Address
First Line	:	3514 N POWER RD STE 123
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-2909
Country	:	US
Telephone Number	:	480-827-9945
Fax Number	:	877-832-4901

Provider Business Practice Location Address
First Line	:	3514 N POWER RD STE 123
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-2909
Country	:	US
Telephone Number	:	480-827-9945
Fax Number	:	877-832-4901

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. MELISSA LEANN FERRELL
Credential	:	DNP FNP-BC
Telephone Number	:	480-827-9945

Provider Enumeration Date	:	07/27/2016
Last Update Date	:	12/17/2020

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