Healthcare Provider Details

I. General information

NPI: 1538323035
Provider Name (Legal Business Name): MELISSA MARIE ESPRIO RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8555 FLORENCE AVE
DOWNEY CA
90240-4014
US

IV. Provider business mailing address

704 N 4TH ST
MONTEBELLO CA
90640-3508
US

V. Phone/Fax

Practice location:
  • Phone: 562-923-9351
  • Fax:
Mailing address:
  • Phone: 323-888-9605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number502121
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: