Individual
COURTNEY MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 478-3243
Mailing address
2269 MIYA CT, HANFORD, CA 93230-8125
(760) 887-6905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95198501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95198501
RN LICENSE
CA
Enumeration date
04/19/2021
Last updated
04/19/2021
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