Provider Demographics
NPI:1699101071
Name:BRANCH, MELISSA ARIANE (CD)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ARIANE
Last Name:BRANCH
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6432 SOMERVELL RANCH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-2971
Mailing Address - Country:US
Mailing Address - Phone:702-670-1950
Mailing Address - Fax:
Practice Address - Street 1:6432 SOMERVELL RANCH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-2971
Practice Address - Country:US
Practice Address - Phone:702-670-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker