Dr MELONIE I BLANCANEAUX is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
CORNER OF ROUTE N12 AND N 7
FORT DEFIANCE
AZ
865040589
Tel: 9287298256
| Npi | 1285150664 |
| Pac Id | 8921371758 |
| Professional Enrollment Id | I20170830001245 |
| Last Name | BLANCANEAUX |
| First Name | MELONIE |
| Middle Name | I |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION |
| Group Practice Pac Id | 0941336697 |
| Number Of Group Practice Members | 136 |
| Line 1 Street Address | CORNER OF ROUTE N12 AND N 7 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FORT DEFIANCE |
| State | AZ |
| Zip Code | 865040589 |
| Phone Number | 9287298256 |
| Hospital Affiliation Ccn 1 | 030071 |
| Hospital Affiliation Lbn 1 | FORT DEFIANCE INDIAN HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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