Henry, Mellissa

Henry, Mellissa is an individual health care provider with primary practice located at 3742 Green Ave Apt 3 , Los Alamitos CA 90720-3256. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Henry, Mellissa can be contacted via phone (909) 758-6040.

Contact Information

Primary practice address
3742 Green Ave Apt 3 Los Alamitos CA 90720-3256
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 520316 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14009 California

Profile Details

NPI number 1881240547
LBN Legal business name Henry, Mellissa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2019
Last updated Aug 17th, 2019 - about 5 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.

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