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Individual

MELISSA ELIZABETH STANCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
757 WESTWOOD PLZ STE 8638, LOS ANGELES, CA 90095-4224
(310) 267-7834
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP2959
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
NP13986
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
301658
AZ
05
RN5218580
CA
Enumeration date
07/28/2006
Last updated
03/16/2022
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