Individual
MELISSA A. MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2001 DWIGHT WAY FL 2, BERKELEY, CA 94704-2608
(510) 204-5770
(510) 204-5749
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-1591
(510) 204-5749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP21279
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
21279
CA
363LA2100X
Acute Care Nurse Practitioner
SP010669
PA
Other
Enumeration date
12/30/2009
Last updated
10/28/2024
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