Grimmett, Melody Christina

Grimmett, Melody Christina is an sole proprietor health care provider with primary practice located at 18321 Clark St , Tarzana CA 91356-3501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grimmett, Melody Christina can be contacted via phone (818) 939-5395.

Contact Information

Primary practice address
18321 Clark St Tarzana CA 91356-3501
Phone: (818) 939-5395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16173 California

Profile Details

NPI number 1568592574
LBN Legal business name Grimmett, Melody Christina
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jan 11th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568592574 NPPES
California Other GG638Y PTAN

Popular Providers