# MELISSA JEAN FREY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770772311
- **Gender:** F
- **Credential:** RN NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 576416 | CA | — |
| 163WC1500X | Community Health Registered Nurse | 64143 | CA | — |
| 163WP0200X | Pediatric Registered Nurse | 576416 | CA | — |
| 164W00000X | Licensed Practical Nurse | 16879 | CA | Yes |

## Other

- **Enumeration date:** 10/19/2007
- **Last updated:** 10/19/2007

## 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 |