Individual
MRS. MELISSA ANN DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP-BC
Contact information
Practice address
1432 CANEEL CT, IRVING, TX 75060-4495
(214) 470-5591
Mailing address
1432 CANEEL CT, IRVING, TX 75060-4495
(214) 470-5591
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
688661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284553901
—
TX
Enumeration date
11/08/2010
Last updated
05/31/2023
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