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NPI Code Detail

MEDICARE: MELISSA A SARHAN APRN, AGACNP-BC

MEDICARE:   MELISSA A SARHAN  APRN, AGACNP-BC
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
1363L00000XNurse Practitioner10005041OR
2363L00000XNurse Practitioner0101906CO
3363L00000XNurse PractitionerAPRN-4491-0HI
4363LA2100XAcute Care Nurse PractitionerAP60045998WA
5363L00000XNurse PractitionerAP10871AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN 60045697OTHERWASTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3AP60045998OTHERWAWASHINGTON STATE LICENSE
4AP10871OTHERAZCERTIFIED NURSE PRACTITIONER

General Provider Information

NPI Number : 1366627663
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA A SARHAN APRN, AGACNP-BC
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number :
Provider Business Practice Location Address
First Line : 16435 N SCOTTSDALE RD STE 285
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-1680
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2008
Last Update Date : 06/07/2024

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Directions to “ MELISSA A SARHAN APRN, AGACNP-BC” Practice Location

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