Mellisa Covarrubias
Individual provider Active NPI Licensed Vocational Nurse · Fallbrook, CA
NPI 1245096544 · NPPES record last updated Feb 23, 2024
Key facts
- NPI
- 1245096544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 689425 (CA)
- Practice address
- 127 N Stage Coach LN
Fallbrook, CA 92028-2455 - Phone
- (760) 421-8151
- NPI assigned
- Feb 23, 2024
- Sex
- Male
- 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 |
|---|---|---|---|
| 689425 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 689425 | CA | Yes |
Addresses
Primary practice location
127 N Stage Coach LN
Fallbrook, CA 92028-2455
Mailing address
127 N Stage Coach LN
Fallbrook, CA 92028-2455
Phone (760) 421-8151
Other providers in Fallbrook, CA
- Richard William Cooke
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- Lisa Cornette
- Marianna Diaz Corona
- Rachel Lorainne Couch
- Crestwood Behavioral Health, Inc.
- Cristina Wood Marriage and Family Therapy Inc.
- Kimberlie Marie Crome
- Karen Cronk
- Angelica Curiel-Torres
All providers in Fallbrook, CA · Licensed Vocational 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 Feb 23, 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.