Doctor Name: | MRS. ELAINE JAUREE MELLO |
NPI Number: | 1053439273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | NP 11629 |
Business Practice Address: | 244 N Kaweah Ave Exeter, CA - 932211220 |
Business Phone Number: | 5595923889 |
Business Fax Number: | 5595929317 |
Mailing Address: | 244 N Kaweah Ave, EXETER |
State: | CA |
Postal Code: | 932211220 |
Phone Number: | 5595923889 |
Fax Number: | 5595929317 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP 11629 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |