MEDICARE: DR. MELISSA J COMETTI DNP, NP-C

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	363LF0000X	Family Nurse Practitioner	CNP-03479	NM

General Provider Information

NPI Number	:	1639677289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA J COMETTI DNP, NP-C

Provider Business Mailing Address
First Line	:	2735 NORTHRISE DR STE B
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-0897
Country	:	US
Telephone Number	:	575-532-4399
Fax Number	:

Provider Business Practice Location Address
First Line	:	2735 NORTHRISE DR STE B
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-0897
Country	:	US
Telephone Number	:	575-532-4399
Fax Number	:	575-532-4433

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

Provider Enumeration Date	:	01/29/2018
Last Update Date	:	01/29/2018

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