MEDICARE: MELISA FELLEGY CNS

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	133NN1002X	Nutrition Education Nutritionist	122648740	NV

General Provider Information

NPI Number	:	1740117357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISA FELLEGY CNS

Provider Business Mailing Address
First Line	:	8028 SAN MATEO ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-2307
Country	:	US
Telephone Number	:	702-485-0330
Fax Number	:

Provider Business Practice Location Address
First Line	:	8028 SAN MATEO ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-2307
Country	:	US
Telephone Number	:	702-485-0330
Fax Number	:

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

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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