Individual
MELISSA E FONDREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCNS, MSN
Contact information
Practice address
710 BEDELL, DEL RIO, TX 78840-6072
(830) 719-3996
(830) 719-3996
Mailing address
113 ARROYO DR, DEL RIO, TX 78840-2633
(830) 719-3996
(830) 719-3996
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
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