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NPI Code Detail

MEDICARE: MELISSA GURULE

MEDICARE: MELISSA GURULE
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner87500NM

General Provider Information

NPI Number : 1487512646
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA GURULE
Provider Business Mailing Address
First Line : 6405 S 3000 E STE 300
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-6977
Country : US
Telephone Number : 801-266-3113
Fax Number : 801-266-5633
Provider Business Practice Location Address
First Line : 4740 N BUTLER AVE
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-0826
Country : US
Telephone Number : 505-324-6300
Fax Number : 505-327-2218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ MELISSA GURULE ” Practice Location

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