Healthcare Provider Details

I. General information

NPI: 1003394677
Provider Name (Legal Business Name): MELISSA ARANA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2018
Last Update Date: 08/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3508 FAR WEST BLVD STE 130
AUSTIN TX
78731-3081
US

IV. Provider business mailing address

11908 ARGONNE FOREST TRL # A
AUSTIN TX
78759-2243
US

V. Phone/Fax

Practice location:
  • Phone: 512-828-3990
  • Fax: 512-241-1277
Mailing address:
  • Phone: 512-419-8250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number872573
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: