Provider Demographics
NPI:1275881633
Name:WILLIAMS, MELISSA CELINA (FNP)
Entity Type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:CELINA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:840 TOWNE CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5900
Mailing Address - Country:US
Mailing Address - Phone:909-398-1550
Mailing Address - Fax:909-398-1488
Practice Address - Street 1:9190 HAVEN #102
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5413
Practice Address - Country:US
Practice Address - Phone:909-980-9898
Practice Address - Fax:909-581-6738
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2018-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA21516363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily