Individual
MELANIE MARIE VAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2401
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
879568
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP145826
TX
Other
Enumeration date
02/05/2020
Last updated
02/20/2025
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