Individual
MELANIE R. KING
Active
Individual
MELANIE R. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
508283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138268107
—
TX
05
—
138268108
—
TX
05
—
138268111
—
TX
05
—
138268112
—
TX
05
—
138268113
—
TX
05
—
138268114
—
TX
05
—
138268115
—
TX
05
—
138268116
—
TX
05
—
138268117
—
TX
05
—
138268118
—
TX
05
—
138268119
—
TX
05
—
138268120
—
TX
01
—
8N4800
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/29/2005
Last updated
04/06/2009
Update your record
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