MELODY G. MITCHEL


Address: 23321 El Toro Rd Ste G, Socpa, Lake Forest, CA 92630-4825
Phone: 9497700513

MELODY G. MITCHEL (NPI# 1992849947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992849947
Entity Type Individual
Full Name MELODY G. MITCHEL
Other Name MELODY KAY GIRDNER
Credential CPNP
Practice Address 23321 El Toro Rd Ste G
Socpa
Lake Forest
CA 92630-4825
Mailing Address 23321 El Toro Rd
Socpa
Lake Forest
CA 92630-4825
Practice Telephone 9497700513
Practice Fax Number 9497702941
Mailing Telephone 9497700711
Mailing Fax Number 9497702941
Enumeration Date 2007-02-16
Last Update Date 2008-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
6754 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 23321 EL TORO RD STE G
SOCPA
City LAKE FOREST
State CA
Zip Code 92630-4825

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780856799 Elizabeth Q Wang Nurse Practitioner 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045-1674 2008-03-31
1245416239 Anneke Sager Nurse Practitioner 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 2008-01-21
1558547547 Lisa Walpert Nurse Practitioner 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 2008-01-21
1639186067 Judith Whitney Leonard Nurse Practitioner 23321 El Toro Rd, Suites F & G, Lake Forest, CA 92630-4825 2006-08-01
1932138351 Patricia Craig Nurse Practitioner 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045-1674 2006-06-30
1023046299 Melissa Hilb Nurse Practitioner 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045-1674 2006-06-28
1639107832 Amy Fitzpatrick Nurse Practitioner 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045-1674 2006-06-28
1659316768 Dawn Ribnek Nurse Practitioner 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045-1674 2006-06-20

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Competitor

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City LAKE FOREST
Zip Code 92630

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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