Individual provider · NPI-1

Melanie Fern Anderson, AGPCNP-C

Nurse Practitioner, Gerontology · Sun City West, AZ

NPI number1770397259
StatusActive
Last updated in NPPESJul 23, 2026

Details

NPI
1770397259
Entity type
Individual (NPI-1)
Name
Melanie Fern Anderson
Credential
AGPCNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 4, 2025
Certification date
Jul 23, 2026
Last updated
Jul 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, Gerontology252062AZYes
207RP1001X Internal Medicine, Pulmonary Disease252062AZ
207RS0012X Internal Medicine, Sleep Medicine252062AZ

Practice location

14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798

Phone 623-975-0500 · Fax 623-975-0705

Mailing address

14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798

Phone 623-975-0500 · Fax 623-975-0705

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