Melissa A Dazo
Nurse Practitioner, Pediatrics in Washington, DC. Individual provider (NPI-1).
NPI number1013593771
StatusActive
Last updated in NPPESApr 14, 2021
Details
- NPI
- 1013593771
- Entity type
- Individual (NPI-1)
- Name
- Melissa A Dazo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2021
- Certification date
- Apr 14, 2021
- Last updated
- Apr 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | RN1038231 | DC | Yes |
| 163WP0200X | Registered Nurse, Pediatrics | RN1038231 | DC |
Practice location
111 Michigan Ave NwWashington, DC 20010-2916
Phone 202-476-5000
Mailing address
Po Box 744785Atlanta, GA 30374-4785
Phone 202-476-5000
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