MELYNDA FENN NP NPI 1871158063

NPI Information

  • NPI: 1871158063
  • Provider Name: MELYNDA FENN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 19805 N 51ST AVE STE 33
    GLENDALE, AZ
    ZIP 85308
  • Phone: (602) 540-3547

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NPI Details

Melynda Fenn, NP is a family nurse practitioner in Glendale, AZ. Melynda Fenn, NP NPI is 1871158063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19805 N 51ST AVE STE 33
GLENDALE, AZ
ZIP 85308-198
Phone: (602) 540-3547

The enumeration date for this NPI number is 5/3/2019 and was last updated on 7/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner225667ARIZONANo
2363LF0000XNurse PractitionerFamily225667ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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