Doctor Name: | MS. MELISSA CHRISTINE EDGINTON |
NPI Number: | 1093136269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 95000180 |
Business Practice Address: | 344 E 6th St Madera, CA - 936383631 |
Business Phone Number: | 5596644000 |
Business Fax Number: | |
Mailing Address: | 42232 Bald Mountain Rd, AUBERRY |
State: | CA |
Postal Code: | 936029784 |
Phone Number: | 5598558382 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 95000180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |