Individual
MELISSA KUJAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1604 LANCASTER DR, GRAPEVINE, TX 76051-3544
(855) 893-5637
(817) 666-3873
Mailing address
332 ENID DR, LEWISVILLE, TX 75056-5874
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1016154
TX
363LA2200X
Adult Health Nurse Practitioner
1016154
TX
363LG0600X
Gerontology Nurse Practitioner
1016154
TX
363LP2300X
Primary Care Nurse Practitioner
1016154
TX
Other
Enumeration date
10/06/2020
Last updated
11/14/2023
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