Provider Demographics
NPI:1174264295
Name:ZUBER, MELISSA F (FNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:F
Last Name:ZUBER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:F
Other - Last Name:FROST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1801 E CAMELBACK RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4165
Mailing Address - Country:US
Mailing Address - Phone:480-378-7607
Mailing Address - Fax:480-248-3132
Practice Address - Street 1:1801 E CAMELBACK RD STE 102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4165
Practice Address - Country:US
Practice Address - Phone:480-378-7607
Practice Address - Fax:480-248-3132
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2024-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY53625363LF0000X
UT9043603-4405363LF0000X
AZ273398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily