Individual provider · Type 1 NPI
Mellissa Henry, FNP
Family Nurse Practitioner · Los Alamitos, CA
NPI number
1881240547
Active
Practice location
3742 Green Ave Apt 3
Los Alamitos, CA 90720-3256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 520316 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 14009 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1881240547
Mellissa Henry, FNP's National Provider Identifier is 1881240547, issued on Aug 17, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Alamitos, CA. The record was last updated on Aug 17, 2019.