Provider Demographics
NPI:1295070555
Name:PHIPPS, MELANIE CABEZAS (CNM, NP)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:CABEZAS
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:CNM, NP
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:CABEZAS
Other - Last Name:PHIPPS-MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, NP
Mailing Address - Street 1:7455 MIRAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5250
Mailing Address - Country:US
Mailing Address - Phone:858-525-5733
Mailing Address - Fax:206-984-0427
Practice Address - Street 1:7455 MIRAMAR AVE
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-5250
Practice Address - Country:US
Practice Address - Phone:858-454-5436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA460153163W00000X
CA5477163WW0101X
CA1989176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory