MEDICARE: GISELLE MELENDEZ APRN, MSN, 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	ARNP9228451	FL
2	363LF0000X	Family Nurse Practitioner	APRN9228451	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316452519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GISELLE MELENDEZ APRN, MSN, FNP-BC

Provider Business Mailing Address
First Line	:	41214 FISHER ISLAND DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33109-1255
Country	:	US
Telephone Number	:	305-503-8634
Fax Number	:	305-777-9640

Provider Business Practice Location Address
First Line	:	41214 FISHER ISLAND DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33109-1255
Country	:	US
Telephone Number	:	305-503-8634
Fax Number	:	305-777-9640

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

Provider Enumeration Date	:	12/10/2017
Last Update Date	:	09/30/2019

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Directions to “ GISELLE MELENDEZ APRN, MSN, FNP-BC” Practice Location

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