Individual
MELISSA DIANE MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CNS
Contact information
Practice address
2681 W CANYON AVE, APT 547, SAN DIEGO, CA 92123-4736
(760) 846-4098
Mailing address
2681 W CANYON AVE, APT 547, SAN DIEGO, CA 92123-4736
(760) 846-4098
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
415908
CA
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
4444
CA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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