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Individual

MELISSA COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
602 COPPER RD, FREEPORT, TX 77541-3001
(979) 415-6404
Mailing address
602 COPPER RD, FREEPORT, TX 77541-3001
(979) 415-6404

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
AP125250
TX
363LX0106X
Occupational Health Nurse Practitioner
Primary
AP125250
TX

Other

Enumeration date
11/05/2014
Last updated
02/04/2016
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