MEDICARE: MELISSA MERICLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	109589	LA

General Provider Information

NPI Number	:	1003027236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MERICLE

Provider Business Mailing Address
First Line	:	3434 JOHNETTE ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2028
Country	:	US
Telephone Number	:	318-868-7204
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 JOHNETTE ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2028
Country	:	US
Telephone Number	:	318-868-7204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1356935316 — FOOT STEPS ABA LLC
Practice Location Address:

2028 N KIRKWOOD DR
SHREVEPORT, LA
71118-4715

Practice Phone: 601-874-1992
Practice Fax:

1417503723 — BEYOND THE CROSSROADS COUNSELING CENTER
Practice Location Address:

3321 YOUREE DR STE E
SHREVEPORT, LA
71105-2123

Practice Phone: 318-219-4100
Practice Fax: 318-219-4108

1699031237 — CODY TINGLE M.D.
Practice Location Address:

7591 FERN AVE STE 1401
SHREVEPORT, LA
71105-5747

Practice Phone: 318-828-2827
Practice Fax: 318-203-5145

1457966970 — CHELSEA BRIAUNA WARMSLEY
Practice Location Address:

3341 YOUREE DR STE 10B
SHREVEPORT, LA
71105-2149

Practice Phone: 318-675-0804
Practice Fax:

1083206627 — COURTNEY FREDIEU
Practice Location Address:

3004 KNIGHT ST STE 149
SHREVEPORT, LA
71105-2502

Practice Phone: 318-517-4736
Practice Fax:

1043523277 — THARWAT A. GHATTAS MD
Practice Location Address:

1455 E BERT KOUNS INDUSTRIAL LOOP STE 102
SHREVEPORT, LA
71105-6000

Practice Phone: 318-798-4595
Practice Fax: 866-502-4997

Directions to “ MELISSA MERICLE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.