Healthcare Provider Details

I. General information

NPI: 1861371593
Provider Name (Legal Business Name): MELISSA MAE ARMULLAS ALVARO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 W VICTORY BLVD
BURBANK CA
91506-1226
US

IV. Provider business mailing address

2309 W VICTORY BLVD
BURBANK CA
91506-1226
US

V. Phone/Fax

Practice location:
  • Phone: 818-856-9535
  • Fax:
Mailing address:
  • Phone: 818-856-9535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95034650
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: