Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 1060087 | TX |
N | 363LA2200X | Nurse Practitioner - Adult Health | 1060087 | TX |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1060087 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | 1060087 | TX |
NPI | 1295493567 |
---|---|
Provider Name | Melanie Dawn Coffee |
First Address | Tomball, TX 77377-1189 |
Second Address | Tomball, TX 77377-1189 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2021 |
Last Update Date | 03/12/2021 |