MEDICARE: MELISSA RENEE MESSER

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	976701	TX

General Provider Information

NPI Number	:	1437783479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA RENEE MESSER

Provider Business Mailing Address
First Line	:	1232 ROSEDALE SPRINGS LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76134-4805
Country	:	US
Telephone Number	:	682-999-2714
Fax Number	:

Provider Business Practice Location Address
First Line	:	1232 ROSEDALE SPRINGS LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76134-4805
Country	:	US
Telephone Number	:	682-999-2714
Fax Number	:

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

Provider Enumeration Date	:	02/28/2020
Last Update Date	:	02/28/2020

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