Healthcare Provider Details

I. General information

NPI: 1316004302
Provider Name (Legal Business Name): MELISSA HEATHER BROWN II RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 KENNETH ST
SANTA CRUZ CA
95060-2455
US

IV. Provider business mailing address

115 KENNETH ST
SANTA CRUZ CA
95060-2455
US

V. Phone/Fax

Practice location:
  • Phone: 831-426-0430
  • Fax:
Mailing address:
  • Phone: 831-426-0430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number539734
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number539734
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: