Provider Demographics
NPI:1457240236
Name:BRUNICARDI, MELISSA (RN, DOULA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:BRUNICARDI
Suffix:
Gender:F
Credentials:RN, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 COLONY PLZ
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-6348
Mailing Address - Country:US
Mailing Address - Phone:713-858-7867
Mailing Address - Fax:
Practice Address - Street 1:2618 SAN MIGUEL DR
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5437
Practice Address - Country:US
Practice Address - Phone:713-858-7867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula