Healthcare Provider Details

I. General information

NPI: 1770270456
Provider Name (Legal Business Name): MELISSA NICOLE TOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4371 LATHAM ST
RIVERSIDE CA
92501-1706
US

IV. Provider business mailing address

215 S HICKORY ST
ESCONDIDO CA
92025-4359
US

V. Phone/Fax

Practice location:
  • Phone: 833-867-4642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95036400
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: