| Melissa Jane Petty, NP | |
|
3917 West Rd, Los Alamos, NM 87544-2275 | |
| (505) 661-9230 | |
| Not Available |
| Full Name | Melissa Jane Petty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 3917 West Rd, Los Alamos, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790748168 | NPI | - | NPPES |
| 500008494 | Other | TX | RR/MEDICARE |
| 0292880-02 | Medicaid | TX | |
| 82N617 | Other | TX | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | CNP-03454 (New Mexico) | Primary |
| Entity Name | Unm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Jane Petty, NP 7029 Camino Rojo, Santa Fe, NM 87507-3533 Ph: (254) 760-3832 | Melissa Jane Petty, NP 3917 West Rd, Los Alamos, NM 87544-2275 Ph: (505) 661-9230 |
Angela Marie Minium, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 Central Park Sq, Los Alamos, NM 87544 Phone: 505-662-4798 | |
Laura K Merrigan, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3917 West Rd, Suite A, Los Alamos, NM 87544 Phone: 505-661-8991 Fax: 505-661-8916 | |
Miss Jeanne Malchow, CNM/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd, Suite 250, Los Alamos, NM 87544 Phone: 505-662-4412 Fax: 505-661-6536 | |
Megan Mcguiness, MSN, APRN, PMNHP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2152 37th St Apt B, Los Alamos, NM 87544 Phone: 505-350-2654 | |
Augustina A Abbott, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3917 West Rd Ste A, Los Alamos, NM 87544 Phone: 505-661-8989 Fax: 505-661-8916 | |
Clay Schneider, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3917 West Rd, Los Alamos, NM 87544 Phone: 505-500-8378 | |
Ila Evette Reed, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3917 West Rd, Los Alamos, NM 87544 Phone: 505-353-2375 |