Provider / Organization | NPI | Date Certified |
---|---|---|
MELISA NOA DE LA PAZ | 1003499617 | 2021-05-01 |
Melisa Noa De La Paz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003499617. Registration indicates Melisa Noa De La Paz is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Melisa Noa De La Paz MD |
Practice Office Address | 966 BARTLEY ST JASPER, IN US |
Practice Office Telephone | 8129965425 |
Mailing Address | 966 BARTLEY ST JASPER, IN 475462641 US |
Business Telephone | 8129965425 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 11023042A
IN |