MELISSA COLVIN


Address: 602 Copper Rd, Freeport, TX 77541-3001
Phone: 9794156404

MELISSA COLVIN (NPI# 1952707861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952707861
Entity Type Individual
Full Name MELISSA COLVIN
Credential NP-C
Practice Address 602 Copper Rd
Freeport
TX 77541-3001
Practice Telephone 9794156404
Mailing Telephone 9794156404
Enumeration Date 2014-11-05
Last Update Date 2016-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP125250 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LX0106X Nurse Practitioner
Specialization: Occupational Health
AP125250 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 602 COPPER RD
City FREEPORT
State TX
Zip Code 77541-3001

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Taxonomy Information

Taxonomy Code 363LX0106X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Occupational Health

Taxonomy Definition

Definition to come...

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Competitor

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City FREEPORT
Zip Code 77541

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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