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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861614513 NPPES
Texas MEDICAID 191135602

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