Doctor Name: | MS. MELANIE ELAYNE KING |
NPI Number: | 1003835547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, NP-C |
License Number: | 16412 |
Business Practice Address: | 6042 N Fresno St Suite 203 Fresno, CA - 937105279 |
Business Phone Number: | 5594351897 |
Business Fax Number: | 5594351667 |
Mailing Address: | 6042 N Fresno St, Suite 203 FRESNO |
State: | CA |
Postal Code: | 937105279 |
Phone Number: | 5594351897 |
Fax Number: | 5594351667 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 16412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |