MELISSA E FONDREN (NPI# 1609892041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609892041 |
| Entity Type | Individual |
| Full Name | MELISSA E FONDREN |
| Credential | PCNS, MSN |
| Practice Address |
710 Bedell Del Rio TX 78840-6072 |
| Mailing Address |
113 Arroyo Dr Del Rio TX 78840-2633 |
| Practice Telephone | 8307193996 |
| Practice Fax Number | 8307193996 |
| Mailing Telephone | 8307193996 |
| Mailing Fax Number | 8307193996 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
517792 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 119880603 | 05 | |
| TX | 119880604 | 05 | |
| TX | 111487803 | 05 |
| Street Address |
710 BEDELL |
| City | DEL RIO |
| State | TX |
| Zip Code | 78840-6072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104363431 | Irma Chapa | Pharmacist | 200 Vetrans Blvd, Del Rio, TX 78840 | 2017-01-25 |
| 1538605621 | Maternity Care Center | Advanced Practice Midwife | 1308 Las Vacas St, Del Rio, TX 78840 | 2017-01-12 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1902232259 | Ruben E Mora | Dentist | 551 W Cantu Rd., Del Rio, TX 78840 | 2013-09-18 |
| 1326489758 | Javier Rodriguez-sanchez | Internal Medicine | 2201 N Bedell Ave Ste E, Del Rio, TX 78840 | 2013-07-15 |
| 1205111267 | Raymond Keith Blottin | Counselor | 114 West Losoya, Serenity Counseling, Del Rio, TX 78840 | 2011-10-20 |
| 1194011072 | Nicole Alexcine Deboer | Physician Assistant | 913 S. Main St., United Medical Centers, Del Rio, TX 78840 | 2011-06-20 |
| 1205125713 | Del Rio Ambulance LLC | Ambulance | 126 W. Ogden St., Del Rio, TX 78840 | 2011-04-05 |
| 1285880476 | Luis Carlos Salinas | Obstetrics & Gynecology | 3614 Cocobolo Street, Del Rio, TX 78840 | 2008-08-07 |
| 1417158239 | Heart Specialists of Texas Pa | Internal Medicine | 1109 Ave K, Del Rio, TX 78840 | 2007-05-30 |
| Find all providers in zip 78840 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689711228 | Jerri Hoehn | Clinical Nurse Specialist | 1801 N Bedell Ave, Del Rio, TX 78840-4491 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830211 | Katherine Ann Kunkle | Clinical Nurse Specialist | 200 West Ave, Pasadena, TX 77502-3630 | 2020-01-24 |
| 1790254241 | Daaiyah Ward | Clinical Nurse Specialist | 1810 16th St, Hempstead, TX 77445-5852 | 2018-11-14 |
| 1285134940 | Frankie Lynn Brown | Clinical Nurse Specialist | 209 Rodney St, Hawkins, TX 75765-2769 | 2018-02-19 |
| 1295123818 | Jessica Denise De Lara | Clinical Nurse Specialist | 1390 George Dieter Dr Ste 100, Suite C, El Paso, TX 79936-7423 | 2015-01-05 |
| 1316344385 | Jessica Dominguez | Clinical Nurse Specialist | 4321 N Mesa St Ste B, El Paso, TX 79902-1105 | 2014-11-19 |
| 1609104066 | Mary Olivia De Leon | Clinical Nurse Specialist | 4920 N. Expressway, Alton Gloor Plaza#101, Brownsville, TX 78526 | 2009-11-24 |
| 1245471010 | Celeste Maria Boyd | Clinical Nurse Specialist | 7602 Lonecrest Ln, Converse, TX 78109-3245 | 2009-03-09 |
| 1881834539 | Iris Well Child Physicals | Clinical Nurse Specialist | 200 W. Edinburg Hwy 107, Suite B, Elsa, TX 78543-1274 | 2009-02-20 |
| 1831735091 | Diana Lynn Cardwell | Clinical Nurse Specialist | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-11-22 |
| 1922652254 | Judy Tubman | Clinical Nurse Specialist | 8610 N New Braunfels Ave, San Antonio, TX 78217-6370 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MELISSA E FONDREN.
| 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.