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Individual
MELISSA CATHERINE ENNIS
Active
Individual
MELISSA CATHERINE ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95160974
CA
163WE0003X
Emergency Registered Nurse
95160974
CA
363L00000X
Nurse Practitioner
95022314
CA
363LF0000X
Family Nurse Practitioner
Primary
95022314
CA
Other
Enumeration date
08/23/2022
Last updated
05/29/2026
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