Individual
MELISSA FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2001 WILSHIRE BLVD STE 320, SANTA MONICA, CA 90403-5683
(310) 566-2006
(424) 322-1214
Mailing address
2001 WILSHIRE BLVD STE 320, SANTA MONICA, CA 90403-5683
(310) 566-2006
(424) 322-1214
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN.428291
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95013755
CA
Other
Enumeration date
12/01/2017
Last updated
02/27/2025
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