Individual
NICOLE ERIN MELET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3838 CALIFORNIA ST RM 610, SAN FRANCISCO, CA 94118-1508
(415) 387-8007
(415) 387-8008
Mailing address
2308A DIVISADERO ST, SAN FRANCISCO, CA 94115-1721
(415) 203-2517
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA15623
CA
363AM0700X
Medical Physician Assistant
Primary
PA15523
CA
363AS0400X
Surgical Physician Assistant
PA15623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA15523
PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
09/13/2006
Last updated
03/21/2024
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