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NPI Code Detail

MEDICARE: MELISSA MERROW NURSE PRACTITIONER

MEDICARE: MELISSA MERROW NURSE PRACTITIONER
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
1363LF0000XFamily Nurse Practitioner22814CA

General Provider Information

NPI Number : 1699192450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MERROW NURSE PRACTITIONER
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 714-443-4512
Fax Number :
Provider Business Practice Location Address
First Line : 4401 ATLANTIC AVE STE 300
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2249
Country : US
Telephone Number : 562-481-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2014
Last Update Date : 03/09/2026

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Directions to “ MELISSA MERROW NURSE PRACTITIONER” Practice Location

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