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Individual
MELISSA JEAN FREY
Active
Individual
MELISSA JEAN FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
576416
CA
163WC1500X
Community Health Registered Nurse
64143
CA
163WP0200X
Pediatric Registered Nurse
576416
CA
164W00000X
Licensed Practical Nurse
Primary
16879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16879
NURSE PRACTIONER
CA
01
—
576416
BOARD REGISTER NURSES
CA
01
—
64143
PUBLIC HEALTH NURSE
CA
05
—
HSP40727F
—
CA
Enumeration date
10/19/2007
Last updated
10/19/2007
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