Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Demelo, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1811368921

Nicole Demelo, NURSEPRACTITIONER is a Registered Nurse in Granada Hills, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

11024 Balboa Blvd # 117
Granada Hills, CA 91344-5007
Phone: (508) 951-7818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95007193 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 808615 (CA)

Record details

NPI number1811368921
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 15, 2015
Last updated in NPPESSeptember 27, 2017
Mailing address4145 Via Marina Apt 108, Marina Del Rey, CA 90292

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