Nicole Demelo, NURSE PRACTITIONER
NPI #1811368921 in Granada Hills, California
Provider Information
- NPI Number
- 1811368921
- Entity Type
- Individual
- Name
- Nicole Demelo, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Oct 15, 2015
- Last Updated
- Sep 27, 2017
Practice Location
- Address
- 11024 BALBOA BLVD # 117
- City
- Granada Hills
- State
- California
- ZIP Code
- 91344-5007
- Phone
- (508) 951-7818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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