Individual provider · Type 1 NPI
Melissa Wong, NP
Adult Health Nurse Practitioner · Petaluma, CA
NPI number
1790184075
Active
Practice location
1179 N Mcdowell Blvd
Petaluma, CA 94954-6559
Fax (707) 559-7620
Mailing address
1709 N. Mcdowell Blvd
Petaluma, CA 94954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95001163 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1790184075
Melissa Wong, NP's National Provider Identifier is 1790184075, issued on Aug 22, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Petaluma, CA. The record was last updated on Sep 20, 2019.