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:
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Health care specialties

SpecialtyCodeLicense #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 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992882906 NPPES
California MEDICAID RN582127

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