Provider Demographics
NPI:1114234424
Name:EDLING, MELISSA ARABIAN
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ARABIAN
Last Name:EDLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2425
Mailing Address - Country:US
Mailing Address - Phone:415-215-3322
Mailing Address - Fax:
Practice Address - Street 1:118 13TH AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2425
Practice Address - Country:US
Practice Address - Phone:415-215-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula