MEDICARE: MELANA C GRIFFITH FNPC

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	363L00000X	Nurse Practitioner	AP111526	TX

General Provider Information

NPI Number	:	1407871676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANA C GRIFFITH FNPC

Provider Business Mailing Address
First Line	:	3838 WEST PARK AVENUE
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-1812
Country	:	US
Telephone Number	:	409-886-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 WEST PARK AVENUE
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-1812
Country	:	US
Telephone Number	:	409-886-8700
Fax Number	:

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/12/2022

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