Individual provider · Type 1 NPI

Melissa Gayle Northam, LVN

Licensed Vocational Nurse · San Diego, CA

NPI number 1114359270 Active

Practice location

1675 Morena Blvd, Ste 100
San Diego, CA 92110-3703

Call (619) 275-8000 Map

Mailing address

1675 Morena Blvd Ste 100
San Diego, CA 92110-3703

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X240523 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1114359270

Melissa Gayle Northam, LVN's National Provider Identifier is 1114359270, issued on Jul 31, 2013. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 30, 2013.