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Individual
MELISSA ANNE PETERSON
Active
Individual
MELISSA ANNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
95033179
CA
2080P0202X
Pediatric Cardiology Physician
95000725
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95000725
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95000725
CA
Other
Enumeration date
06/19/2014
Last updated
07/17/2026
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