Individual
MELINDA FAGUNDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4113
Mailing address
708 KENSINGTON DR, GREENVILLE, NC 27858-9651
(252) 847-4113
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
21248
NC
Other
Enumeration date
01/05/2007
Last updated
12/26/2021
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