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Individual

MELISSA E FONDREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PCNS, MSN

Taxonomy

Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
517792
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111487803
TX
05
119880603
TX
05
119880604
TX
Enumeration date
07/15/2006
Last updated
07/09/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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