Individual
MELINDA MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, WHNP-BC
Contact information
Practice address
605 S WEST ST, ARLINGTON, TX 76019-0329
(817) 272-2771
(817) 272-3829
Mailing address
PO BOX 19329, 605 S. WEST ST., ARLINGTON, TX 76019-0329
(817) 272-2771
(817) 272-3829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
249237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137801011
—
TX
05
—
137801012
—
TX
Enumeration date
06/14/2006
Last updated
02/04/2015
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