MELISSA JEAN FREY RN NP NPI 1770772311

NPI Information

NPI: 1770772311
Provider Name: MELISSA JEAN FREY, RN NP
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 933-8000
Get Directions

Melissa Jean Frey, RN NP is a licensed practical nurse in Long Beach, CA. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Melissa Jean Frey, RN NP NPI is 1770772311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2801 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806-701
Phone: (562) 933-8000

The enumeration date for this NPI number is 10/19/2007 and was last updated on 10/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		576416	CALIFORNIA	No
2	163WC1500X	Registered Nurse	Community Health	64143	CALIFORNIA	No
3	163WP0200X	Registered Nurse	Pediatrics	576416	CALIFORNIA	No
4	164W00000X	Licensed Practical Nurse		16879	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	576416	OTHER	CALIFORNIA	BOARD REGISTER NURSES
2	64143	OTHER	CALIFORNIA	PUBLIC HEALTH NURSE
3	HSP40727F	MEDICAID	CALIFORNIA
4	16879	OTHER	CALIFORNIA	NURSE PRACTIONER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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