Healthcare Provider Details

I. General information

NPI: 1013662014
Provider Name (Legal Business Name): MELISSA TUANAMA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 SPRINGVILLE STATION BLVD SPRINGVILLE PEDIATRICS
SPRINGVILLE AL
35146-3514
US

IV. Provider business mailing address

350 SPRINGVILLE STA
SPRINGVILLE AL
35146-6163
US

V. Phone/Fax

Practice location:
  • Phone: 205-773-2075
  • Fax:
Mailing address:
  • Phone: 205-773-2075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-126151
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: