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NPI Code Detail

MEDICARE: MS. MELISSA BARBARA ALLEN NP

MEDICARE: MS. MELISSA BARBARA ALLEN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner10100CA
2363LG0600XGerontology Nurse PractitionerRN543489CA
3363LG0600XGerontology Nurse Practitioner10100CA
4363LA2200XAdult Health Nurse PractitionerRN 543489CA

General Provider Information

NPI Number : 1225009319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA BARBARA ALLEN NP
Provider Business Mailing Address
First Line : 3260 SACRAMENTO ST
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2739
Country : US
Telephone Number : 510-601-6060
Fax Number : 510-553-2166
Provider Business Practice Location Address
First Line : 3260 SACRAMENTO ST
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2739
Country : US
Telephone Number : 510-601-6060
Fax Number : 510-553-2166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2006
Last Update Date : 03/16/2020

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