Eulalia Teresa Mello
Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Redwood, CA
NPI 1013738475 · NPPES record last updated Oct 18, 2024
Key facts
- NPI
- 1013738475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
- License
- 95355233 (CA)
- Practice address
- 280 Edmonds Road
Building B
Redwood, CA 94062 - Phone
- (650) 479-9090
- NPI assigned
- Oct 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95355233 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 95355233 | CA | Yes |
Addresses
Primary practice location
280 Edmonds Road
Building B
Redwood, CA 94062
Mailing address
280 Edmonds Road
Building B
Redwood, CA 94062
Other providers in Redwood, CA
All providers in Redwood, CA · Adult Psychiatric/Mental Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.