NPI 1295083772

Melanie Peterson

Practitioner Religious Nonmedical Nursing Personnel Los Angeles, CA

Practice location

Address: 4570 Griffin Ave, Los Angeles, CA 90031-1422
Phone: (323) 221-9174

Registered specialties (2)

Religious Nonmedical Nursing Personnel Primary

Nursing Service Related Providers Taxonomy 374T00000X

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Nursing Home Administrator

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1295083772
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2012
Record last updated: 15 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.