Provider Demographics
NPI:1831195197
Name:TURNER, MELANIE T (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:T
Last Name:TURNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:TRULUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:3103 N FRY RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6218
Mailing Address - Country:US
Mailing Address - Phone:713-465-9282
Mailing Address - Fax:713-465-9248
Practice Address - Street 1:3103 N FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6218
Practice Address - Country:US
Practice Address - Phone:713-465-9282
Practice Address - Fax:713-465-9248
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX702949363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX806473Medicare ID - Type Unspecified
TXP35380Medicare UPIN