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Melissa Mary De La Mora, APRN
Pediatric Nurse Practitioner in Carmichael, California
NPI 1730493859

Melissa Mary De La Mora is a Pediatric Nurse Practitioner based in Carmichael, CA and is specialized in Pediatrics. Melissa Mary De La Mora practices in Carmichael, CA and has the professional credentials of APRN. The NPI Number for Melissa Mary De La Mora is 1730493859 and holds a License No. 20747 (California).

The current practice location address for Melissa Mary De La Mora is 6501 Coyle Ave, Carmichael, CA and can be reached out via phone at 916-537-5000.

Location: 6501 Coyle Ave, Carmichael, CA, 95608-0306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730493859
Provider Name
Melissa Mary De La Mora
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
6501 Coyle Ave, Carmichael, CA, 95608-0306
Phone Number
916-537-5000
Fax Number
Provider Enumeration Date
07/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730493859 05 CA
institution
Provider Business Practice Location Address Details
Address
6501 Coyle Ave
City
Carmichael
State
California
Zip
95608
Phone Number
916-537-5000
Fax Number
person
Provider Business Mailing Address Details
Address
6501 Coyle Ave
City
Carmichael
State
California
Zip
95608
Phone Number
916-537-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
20747 (California)
Definition
Definition to come...
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