Individual
MELISSA MARIE FORMICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1730 PRAIRIE CITY RD STE 120, FOLSOM, CA 95630-9594
(916) 351-4800
(916) 357-6194
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95022981
CA
Other
Enumeration date
10/13/2022
Last updated
06/26/2025
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