Melissa A Dazo
Nurse Practitioner - Pediatrics
111 Michigan Ave Nw
Washington
, District of Columbia 20010-2916
Melissa A Dazo
Nurse Practitioner - Pediatrics
111 Michigan Ave Nw
Washington
, District of Columbia 20010-2916
(202) 476-5000
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Melissa A Dazo
- Po Box 744785
- Atlanta, GA
- Zip : 30374-4785
- Phone : (202) 476-5000
Second Address
- Melissa A Dazo
- 111 Michigan Ave Nw
- Washington, DC
- Zip : 20010-2916
- Phone : (202) 476-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN1038231 | DC |
National Provider Identifier
| NPI | 1013593771 |
|---|---|
| Provider Name | Melissa A Dazo |
| First Address | Atlanta, GA 30374-4785 |
| Second Address | Washington, DC 20010-2916 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2021 |
| Last Update Date | 14/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.