Provider Demographics
NPI:1932427796
Name:MOYA, MELANIE T (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:T
Last Name:MOYA
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Gender:F
Credentials:FAMILY NURSE PRACTIT
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Mailing Address - Street 1:4650 SUNSET BOULEVARD MAIL STOP, #125
Mailing Address - Street 2:CHILDRENS HOSPITAL LOS ANGELES
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-0980
Mailing Address - Country:US
Mailing Address - Phone:323-361-2533
Mailing Address - Fax:323-361-8095
Practice Address - Street 1:4650 SUNSET BOULEVARD
Practice Address - Street 2:CHILDRENS HOSPITAL LOS ANGELES
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-361-2533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
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Provider Licenses
StateLicense IDTaxonomies
CARN#437641363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily