Grace Marie Mellen, RN / NP | |
10585 N Tatum Blvd, Suite D130, Paradise Valley, AZ 85253-1073 | |
(602) 997-7263 | |
(602) 944-4553 |
Full Name | Grace Marie Mellen |
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Gender | Female |
Speciality | Registered Nurse |
Location | 10585 N Tatum Blvd, Paradise Valley, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184010852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN120100 (Arizona) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | AP7444 (Arizona) | Secondary |
Entity Name | United Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316336845 PECOS PAC ID: 9830482330 Enrollment ID: O20160720002996 |
Mailing Address | Practice Location Address |
---|---|
Grace Marie Mellen, RN / NP 112 E. Mcdowell Rd, Phoenix, AZ 85006-2611 Ph: (602) 258-4951 | Grace Marie Mellen, RN / NP 10585 N Tatum Blvd, Suite D130, Paradise Valley, AZ 85253-1073 Ph: (602) 997-7263 |
William Fredrick Graham, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8801 N 56th St, Paradise Valley, AZ 85253 Phone: 480-484-8711 | |
Rosemary Prasad, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5910 E Stella Ln, Paradise Valley, AZ 85253 Phone: 602-257-2817 | |
Ms. Ellie C Guardiola, BSN RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8801 N 56th St, Paradise Valley, AZ 85253 Phone: 480-484-8711 | |
Mary Rose Lauro, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6734 E Cheney Dr, Paradise Valley, AZ 85253 Phone: 480-305-4075 | |
Mary Jo Beardsley, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6300 N Camelback Manor Dr, Paradise Valley, AZ 85253 Phone: 602-695-7127 | |
Lauren Preble, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10599 N Tatum Blvd Ste F151, Paradise Valley, AZ 85253 Phone: 480-991-9271 |