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NPI Code Detail

MEDICARE: MELISSA ADDAE MENSAH PMHNP-BC

MEDICARE: MELISSA ADDAE MENSAH PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95000497CA

General Provider Information

NPI Number : 1568171668
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ADDAE MENSAH PMHNP-BC
Provider Business Mailing Address
First Line : 5199 E PACIFIC COAST HWY STE 330N
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-3353
Country : US
Telephone Number : 562-365-2020
Fax Number : 562-239-3135
Provider Business Practice Location Address
First Line : 5199 E PACIFIC COAST HWY STE 330N
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-3353
Country : US
Telephone Number : 562-365-2020
Fax Number : 562-239-3135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2022
Last Update Date : 08/11/2023

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Directions to “ MELISSA ADDAE MENSAH PMHNP-BC” Practice Location

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