Nicole Demelo, NURSE PRACTITIONER - Nurse Practitioner in Granada Hills, CA

Nicole Demelo, NURSE PRACTITIONER is a Nurse Practitioner based in Granada Hills, California. Nicole Demelo is licensed to practice in California (license number 95007193) and her current practice location is 11024 Balboa Blvd # 117, Granada Hills, California. She can be reached at her office (for appointments etc.) via phone at (508) 951-7818.

NPI number for Nicole Demelo is 1811368921 and her current mailing address is 4145 Via Marina Apt 108, Marina Del Rey, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811368921.

Contact Information

Nicole Demelo, NURSE PRACTITIONER
11024 Balboa Blvd # 117,
Granada Hills, CA 91344-5007
(508) 951-7818
Not Available

Map and Direction




Provider's Profile

Full NameNicole Demelo
GenderFemale
SpecialityNurse Practitioner
Location11024 Balboa Blvd # 117, Granada Hills, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811368921
  • Provider Enumeration Date: 10/15/2015
  • Last Update Date: 09/27/2017

Medical Identifiers

Medical identifiers for Nicole Demelo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811368921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 808615 (California)Secondary
363L00000XNurse Practitioner 95007193 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Demelo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Demelo, NURSE PRACTITIONER
4145 Via Marina Apt 108,
Marina Del Rey, CA 90292

Ph: (508) 951-7818
Nicole Demelo, NURSE PRACTITIONER
11024 Balboa Blvd # 117,
Granada Hills, CA 91344-5007

Ph: (508) 951-7818

Reviews and Comments


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