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NPI Code Detail

MEDICARE: MELLYRUTH MALDONADO FNP-C

MEDICARE: MELLYRUTH MALDONADO FNP-C
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 PractitionerAP145061TX

General Provider Information

NPI Number : 1851923783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELLYRUTH MALDONADO FNP-C
Provider Business Mailing Address
First Line : 25723 OLD FREDERICKSBURG RD
Second Line :
City : BOERNE
State : TX
Zip : 78015-6605
Country : US
Telephone Number : 210-450-6800
Fax Number :
Provider Business Practice Location Address
First Line : 25723 OLD FREDERICKSBURG RD
Second Line :
City : BOERNE
State : TX
Zip : 78015-6605
Country : US
Telephone Number : 210-450-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2020
Last Update Date : 01/23/2026

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Directions to “ MELLYRUTH MALDONADO FNP-C” Practice Location

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