| Doctor Name: | MELANIE FAYE CRUISE |
| NPI Number: | 1255317111 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RT R R |
| License Number: | 273539 |
| Business Practice Address: | Us Hwy 491 North Shiprock, NM - 87420 |
| Business Phone Number: | 5053686020 |
| Business Fax Number: | 5053686431 |
| Mailing Address: | Po Box 160, SHIPROCK |
| State: | NM |
| Postal Code: | 874200160 |
| Phone Number: | 5053686020 |
| Fax Number: | 5053686431 |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 273539 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NM |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |