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Individual

MELANIE R FOUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
2813 WICKERSHAM DR, TEMPLE, TX 76502-3065
(254) 931-2480
Mailing address
2813 WICKERSHAM DR, TEMPLE, TX 76502-3065
(254) 931-2480

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1115470
TX

Other

Enumeration date
04/18/2023
Last updated
04/18/2023
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