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NPI Code Detail

MEDICARE: DANIELA MELLO APRN

MEDICARE: DANIELA MELLO APRN
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
1164W00000XLicensed Practical Nurse174203TX
2363LA2200XAdult Health Nurse Practitioner1003172TX
3163W00000XRegistered Nurse1003172TX

General Provider Information

NPI Number : 1720835390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELA MELLO APRN
Provider Business Mailing Address
First Line : 4002 MOUNT LAUREL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-1024
Country : US
Telephone Number : 210-287-6889
Fax Number :
Provider Business Practice Location Address
First Line : 631 LAKEVIEW BLVD
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-4017
Country : US
Telephone Number : 574-546-1900
Fax Number : 574-546-1999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2024
Last Update Date : 02/17/2026

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