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Individual

MELINA MONCIVAIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
4211 WATONGA BLVD, HOUSTON, TX 77092-5324
(832) 548-5000
(281) 625-2051
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5000
(713) 559-3255

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1016766
TX
363LP0200X
Pediatric Nurse Practitioner
209-016879
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
IL
Enumeration date
11/15/2017
Last updated
07/01/2021
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