Melanie D Spoon
Individual provider Active NPI Licensed Practical Nurse · Dublin, TX
NPI 1346865748 · NPPES record last updated Jun 11, 2020
Key facts
- NPI
- 1346865748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 333387 (TX)
- Practice address
- 777 PR 1183
Dublin, TX 76446 - Phone
- (254) 413-3537
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333387 | TX | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 333387 | TX | Yes |
Addresses
Primary practice location
777 PR 1183
Dublin, TX 76446
Mailing address
777 PR 1183
Dublin, TX 76446
Phone (254) 413-3537
Other providers in Dublin, TX
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- Eddie Lee Salyer
- Douglas Smith
- Kellie Maude St.Germain
- Jessica Dian Thornton
- Tiffany Villegas
- Jessica Keely Wilson
- Amy E Young
All providers in Dublin, TX · Licensed Practical Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.