Basic Information
| Provider Information | |||||||||
| NPI: | 1740953249 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBARRAN-SLOVIN | ||||||||
| FirstName: | MELODY | ||||||||
| MiddleName: | CRYSTAL | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | DNP, FNP-C, PNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 165 S 1ST ST | ||||||||
| Address2: | |||||||||
| City: | EL CAJON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920194795 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6192804213 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 165 E SOUTH 1ST ST. | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6192804213 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2021 | ||||||||
| LastUpdateDate: | 01/05/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP2300X | 95103701 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |
No ID Information.