Provider Demographics
NPI:1033234190
Name:MELVILLE, ARLENE (RNNP)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:
Last Name:MELVILLE
Suffix:
Gender:F
Credentials:RNNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5575 W LAS POSITAS BLVD
Mailing Address - Street 2:#330
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-5801
Mailing Address - Country:US
Mailing Address - Phone:925-734-6655
Mailing Address - Fax:925-734-9294
Practice Address - Street 1:5575 W LAS POSITAS BLVD
Practice Address - Street 2:#330
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-5801
Practice Address - Country:US
Practice Address - Phone:925-734-6655
Practice Address - Fax:925-734-9294
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347568363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA347568OtherLICENSE