IndividualActive
Melissa Petty, NP
NPI 1790748168 · Neonatal Nurse Practitioner · Los Alamos, NM
Provider details
- NPI number
- 1790748168
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- CNP-03454 (NM)
Mailing address
7029 Camino Rojo
Santa Fe, NM 87507-3533
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2024-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.