Melanie Deann Beamon, LVN

Individual provider Active NPI Licensed Vocational Nurse · Carthage, TX

NPI 1477053254 · NPPES record last updated Feb 18, 2018

Key facts

NPI
1477053254
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
170458 (TX)
Practice address
5932 FM 31 S
Carthage, TX 75633-8493
Phone
(903) 690-5932
NPI assigned
Feb 18, 2018
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

LicenseStateTypeSpecialty
170458TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 170458 TX Yes

Addresses

Primary practice location

5932 FM 31 S
Carthage, TX 75633-8493

Mailing address

5932 FM 31 S
Carthage, TX 75633-8493
Phone (903) 690-5361

Other providers in Carthage, TX

All providers in Carthage, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.