Mabe, Melanie Edmonston
Mabe, Melanie Edmonston is an individual health care provider with primary practice located at 1901 Sw H K Dodgen Loop , Temple TX 76502-1814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mabe, Melanie Edmonston can be contacted via phone (254) 724-2111.Contact Information
Primary practice address
1901 Sw H K Dodgen Loop
Temple TX 76502-1814
Phone: (254) 724-2111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 574711 | Texas |
Profile Details
| NPI number | 1861614513 |
|---|---|
| LBN Legal business name | Mabe, Melanie Edmonston |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jan 27th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861614513 | NPPES |
| Texas | MEDICAID | 191135602 |
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