MELODY J DETWILLER


Address: 3601 S 6th Ave Bldg 802, Tucson, AZ 85723-0001
Phone: 5297921450

MELODY J DETWILLER (NPI# 1881253284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881253284
Entity Type Individual
Full Name MELODY J DETWILLER
Credential LPN
Practice Address 3601 S 6th Ave Bldg 802
Tucson
AZ 85723-0001
Mailing Address 3601 S 6th Ave
Tucson
AZ 85723-8705
Practice Telephone 5297921450
Enumeration Date 2019-06-10
Last Update Date 2019-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse LPO44338 AZ Nursing Service Providers

Office Location

Street Address 3601 S 6TH AVE BLDG 802
City TUCSON
State AZ
Zip Code 85723-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265912380 Daniel Martyn Altig Social Worker Savahcs, 3601 South 6th Ave, Tucson, AZ 85723 2018-08-17
1760924757 Jose Santos Urias Respiratory Therapist, Registered 3601s 6th Ave, Tucson, AZ 85723 2016-11-08
1144461898 Roy Alan Kolden Respiratory Therapist, Certified 3601 South 6th Avenue, Tucson, AZ 85723 2009-03-10
1861689804 Rene Adan Nunez Radiologic Technologist 3601 South 6th Avenue (9-05), Tucson, AZ 85723 2007-10-03
1609956176 Kenneth Ely Monroe Internal Medicine 3601 So 6th Ave, Southern Arizona Va Health Care Service, Tucson, AZ 85723 2006-10-17
1639269566 James Edward Hadley Kinesiotherapist 3601 S 6 Th Ave, Tucson, AZ 85723 2006-10-13
1437240470 Anita Judith Goss Nurse Practitioner 3601 S 6th St, 4116a, Tucson, AZ 85723 2006-09-27
1053410795 Edwin Harold Kroon Psychiatry & Neurology 3601 South 6th Ave, Southern Arizona Va Health Care System, Tucson, AZ 85723 2006-09-21
1568572469 Joseph Edward Upson Internal Medicine 3601 S. 6th Avenue, Tucson, AZ 85723 2006-08-30
1528175072 Jayendra H Shah Internal Medicine 3601 S. 6ht Avenue, Tucson, AR 85723 2006-08-23
Find all providers in zip 85723

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811540941 Allison Renee Moore-crum Licensed Practical Nurse 8174 N Plantation Pl, Tucson, AZ 85741-4038 2019-07-17
1841772159 Mary E Shaffer Licensed Practical Nurse 6557 E 12th St, Tucson, AZ 85710-1008 2018-09-04
1265935910 Carlos H Blancarte Sr. Licensed Practical Nurse 268 E River Rd Ste 150, Tucson, AZ 85704-5844 2018-03-08
1750890190 Patricia Ruane Licensed Practical Nurse 1082 E Ajo Way # 100, Tucson, AZ 85713-5051 2017-09-28
1184015109 Dorothea Leonis Weber Licensed Practical Nurse 1010 East 10th Street, Tucson Unified School District, Tucson, AZ 85719 2015-02-12
1942607338 Benita Chilikwela Licensed Practical Nurse 1402 N Alvernon Way, Suite S3, Tucson, AZ 85712-3804 2014-12-01
1912307794 Jose Lugo Licensed Practical Nurse 102 N. Plummer Ave., Tucson, AZ 85719 2014-08-28
1821433418 Lori Ann Harmsen Licensed Practical Nurse 9111 E Broadway Blvd Apt 8101, Tucson, AZ 85710-3084 2013-05-08
1053755223 Kristen Michelle Molander Licensed Practical Nurse 9018 N Palm Brook Dr, Tucson, AZ 85743-8923 2013-04-18
1255775532 Jason Michael Alan Molander Licensed Practical Nurse 3216 W Liberty Tree Ln, Tucson, AZ 85741-1755 2013-04-17
Find all providers in TUCSON

Competitor

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City TUCSON
Zip Code 85723

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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