Meliea Ann Lane in Petaluma - Family

Meliea Ann Lane - NPI 1700993334

Meliea Ann Lane is a Family in Petaluma, California. Meliea Ann Lane practices all healthcare services and medical treatments related to Family. The NPI Number for Meliea Ann Lane is 1700993334. The last update date is 2013-04-08.

Meliea Ann Lane's current location address is 1456 Professional Dr Ste #405, Petaluma, California. You can contact this provider via phone number 7077697500 and fax number 7077697570. The mailing address for Meliea Ann Lane is 1456 Professional Dr Ste #405, Petaluma, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Meliea Ann Lane
Address 1456 Professional Dr Ste #405, Petaluma, California
Phone Number 7077697500
Fax Number 7077697570
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1700993334
Provider Enumeration Date 2006-08-23
Last Updated Date 2013-04-08

Provider Mailing Address Detail

Address 1456 Professional Dr Ste #405
City Petaluma
State California (CA)
Post Code 94954
Phone Number 7077697500
Fax Number 7077697570

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 6841
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
268070 CA REGISTERED NURSE LICENSE

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FAQs about Meliea Ann Lane

What is the unique provider identifier assigned to Meliea Ann Lane?

The Meliea Ann Lane has been issued the NPI (National Provider Identifier) 1700993334 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Meliea Ann Lane is physically located?

The Meliea Ann Lane is physically situated at the following address: 1456 Professional Dr Ste #405, Petaluma, CA, 94954.

What is the Meliea Ann Lane's area of specialization and corresponding taxonomy classification?

The Meliea Ann Lane's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.

On what date did Meliea Ann Lane receive its 1700993334 assignment from the Centers for Medicare & Medicaid Services?

The Meliea Ann Lane was assigned its 1700993334 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Meliea Ann Lane's information last updated?

The Meliea Ann Lane's information was last updated on 2013-04-08.

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