Individual provider · Type 1 NPI
Melissa Carlson
Family Nurse Practitioner · San Jose, CA
NPI number
1639618523
Active
Practice location
1432 W San Carlos St, Suite 10
San Jose, CA 95126-3217
Mailing address
326 Spode Way
San Jose, CA 95123-5125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95006038 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639618523
Melissa Carlson's National Provider Identifier is 1639618523, issued on Feb 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Jose, CA. The record was last updated on Mar 26, 2017.