Melwak, Mary Alice
Melwak, Mary Alice is an individual health care provider with primary practice located at 3665 Kearny Villa Rd Ste 400 , San Diego CA 92123-1955. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Melwak, Mary Alice can be contacted via phone (858) 966-8801.Contact Information
Primary practice address
3665 Kearny Villa Rd Ste 400
San Diego CA 92123-1955
Phone: (858) 966-8801
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | APRN11026789 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | NP15851 | California |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 136096474405 | Utah |
Profile Details
NPI number | 1992882906 |
---|---|
LBN Legal business name | Melwak, Mary Alice |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Nov 28th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992882906 | NPPES |
California | MEDICAID | RN582127 |
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