Individual
MELISSA ANNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-4148
(323) 361-3668
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-4148
(323) 361-3668
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
95033179
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95000725
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95000725
CA
Other
Enumeration date
06/19/2014
Last updated
04/13/2026
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