MEDICARE: MS. MELISSA BECCARIO MSN, APRN, FNP-BC

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	363LF0000X	Family Nurse Practitioner	805724	TX

General Provider Information

NPI Number	:	1083031959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA BECCARIO MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	12121 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2432
Country	:	US
Telephone Number	:	713-360-6868
Fax Number	:

Provider Business Practice Location Address
First Line	:	5600 KIRBY DR UNIT S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2449
Country	:	US
Telephone Number	:	713-360-6868
Fax Number	:

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

Provider Enumeration Date	:	03/27/2014
Last Update Date	:	11/17/2017

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