Individual
MELISSA KAY HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1860 MOWRY AVE STE 201, FREMONT, CA 94538-1730
(510) 373-3000
Mailing address
1860 MOWRY AVE STE 201, FREMONT, CA 94538-1730
(510) 373-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61155425
WA
363AM0700X
Medical Physician Assistant
Primary
53167
CA
363AM0700X
Medical Physician Assistant
PA9106285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53167
PHYSICIAN ASSISTANT LICENSE
CA
01
—
PA9106285
PHYSICAIN ASSISTANT LICENSE
FL
Enumeration date
11/01/2011
Last updated
01/12/2026
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