person
Meliea Ann Lane, FNP
Family Nurse Practitioner in Petaluma, California
NPI 1700993334

Meliea Ann Lane is a Family Nurse Practitioner based in Petaluma, CA and is specialized in Family. Meliea Ann Lane practices in Petaluma, CA and has the professional credentials of FNP. The NPI Number for Meliea Ann Lane is 1700993334 and holds a License No. 6841 (California).

The current practice location address for Meliea Ann Lane is 1456 Professional Dr Ste #405, Petaluma, CA and can be reached out via phone at 707-769-7500 and via fax at 707-769-7570.

Location: 1456 Professional Dr Ste #405, Petaluma, CA, 94954
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Provider Profile Details
NPI Number
1700993334
Provider Name
Meliea Ann Lane
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1456 Professional Dr Ste #405, Petaluma, CA, 94954
Phone Number
707-769-7500
Fax Number
707-769-7570
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
268070 01 CA REGISTERED NURSE LICENSE
institution
Provider Business Practice Location Address Details
Address
1456 Professional Dr Ste #405
City
State
Zip
94954
Phone Number
707-769-7500
Fax Number
707-769-7570
person
Provider Business Mailing Address Details
Address
1456 Professional Dr Ste #405
City
State
Zip
94954
Phone Number
707-769-7500
Fax Number
707-769-7570
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
6841 (California)
Definition
Definition to come...
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