Melissa Renee Rundquist, LVN
Individual provider Active NPI Licensed Vocational Nurse · Calimesa, CA
NPI 1538431069 · NPPES record last updated Jan 30, 2012
Key facts
- NPI
- 1538431069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- VN213557 (CA)
- Practice address
- 286 Harruby Dr
Calimesa, CA 92320-1630 - Phone
- (951) 452-2148
- NPI assigned
- Jan 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| VN213557 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN213557 | CA | Yes |
Addresses
Primary practice location
286 Harruby Dr
Calimesa, CA 92320-1630
Mailing address
286 Harruby Dr
Calimesa, CA 92320-1630
Phone (951) 452-2148
Other providers in Calimesa, CA
- Montasir Rahman
- Karen Ramirez
- Diana Riopedre
- Amanda T Rivero
- Jessica Alejandra Rodriguez Heredia
- Daniel Alejandro Sanchez Pla
- Kaye Rowe Sheffield
- Sol Cohen-Sedgh Dental Corporation
- Star Drug Center
- Terrence Jerald Sullivan
All providers in Calimesa, 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 Jan 30, 2012. 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.