Individual
MRS. MELINDA JEANNE MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1600 WEST COLLEGE ST., SUITE 60, GRAPEVINE, TX 76051
(817) 488-7334
(817) 421-6527
Mailing address
1600 WEST COLLEGE ST., SUITE 60, GRAPEVINE, TX 76051
(817) 488-7334
(817) 421-6527
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP102706
TX
363LP0200X
Pediatric Nurse Practitioner
RN255695
TX
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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