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NPI Code Detail

MEDICARE: MELISSA ROSIBEL WENDT FNP-BC

MEDICARE:   MELISSA ROSIBEL WENDT  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
1363LF0000XFamily Nurse PractitionerAP145498TX

General Provider Information

NPI Number : 1184250227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ROSIBEL WENDT FNP-BC
Provider Business Mailing Address
First Line : 3500 TANGLE BRUSH DR APT 126
Second Line :
City : SPRING
State : TX
Zip : 77381-2946
Country : US
Telephone Number : 832-627-9346
Fax Number :
Provider Business Practice Location Address
First Line : 3500 TANGLE BRUSH DR APT 126
Second Line :
City : SPRING
State : TX
Zip : 77381-2946
Country : US
Telephone Number : 832-620-4631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2020
Last Update Date : 03/20/2020

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Directions to “ MELISSA ROSIBEL WENDT FNP-BC” Practice Location

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