Provider Demographics
NPI:1467616888
Name:ARRIAGADA, MELISSA L (NP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:L
Last Name:ARRIAGADA
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:HOSEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:732 W RAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-4480
Mailing Address - Country:US
Mailing Address - Phone:678-761-2408
Mailing Address - Fax:
Practice Address - Street 1:732 W RAVEN DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-4480
Practice Address - Country:US
Practice Address - Phone:678-761-2408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-083300163W00000X, 363LX0001X
GARN222652363LF0000X
AZ318328363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology