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General NPI Number Information
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NPI Number | 1356285951
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Entity Type | Individual
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Provider Name | MELISSA ANNE WALTHER-EVERETT
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 3767 ELIZABETH ST
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City | RIVERSIDE
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State | CA
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Zip | 92506-2508
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Country | US
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Telephone | 951-733-4740
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Fax | 951-784-6146
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Provider Business Mailing Address
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Address Line | 30854 THIMBLEBERRY LN
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City | MURRIETA
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State | CA
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Zip | 92563-5207
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Country | US
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Telephone | 951-733-4740
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95034468
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License Number State | CA
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