Provider Demographics
NPI:1861247850
Name:ROEL, MELISSA YVETTE (FNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:YVETTE
Last Name:ROEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22324 TAMM LN
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-2817
Mailing Address - Country:US
Mailing Address - Phone:956-245-5207
Mailing Address - Fax:
Practice Address - Street 1:22324 TAMM LN
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-2817
Practice Address - Country:US
Practice Address - Phone:956-245-5207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1158156363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty