Individual
MELISSA TIDWELL WILKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2601 E MAIN ST STE 200, VENTURA, CA 93003-2801
(805) 643-7500
(805) 643-7510
Mailing address
2601 E MAIN ST STE 200, VENTURA, CA 93003-2801
(805) 643-7500
(805) 643-7510
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95016601
CA
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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