MEDICARE: MELISSA SPADONE

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	363LP0200X	Pediatric Nurse Practitioner	SP013759	PA
2	363LP0200X	Pediatric Nurse Practitioner	AP129629	TX

General Provider Information

NPI Number	:	1437569357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA SPADONE

Provider Business Mailing Address
First Line	:	5215 JENSEN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77026-2514
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5215 JENSEN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77026-2514
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:

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

Provider Enumeration Date	:	04/30/2014
Last Update Date	:	03/31/2022

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Directions to “ MELISSA SPADONE ” Practice Location

Language	Start Address	Practice Location

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