Provider Demographics
NPI:1083852347
Name:SCHNEIDMILLER, MELANIE MARIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:MARIE
Last Name:SCHNEIDMILLER
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 1:2115 HEMPHILL ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-2036
Mailing Address - Country:US
Mailing Address - Phone:817-702-5155
Mailing Address - Fax:817-926-0151
Practice Address - Street 1:2115 HEMPHILL ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-2036
Practice Address - Country:US
Practice Address - Phone:817-702-5155
Practice Address - Fax:817-926-0151
Is Sole Proprietor?:No
Enumeration Date:2009-01-25
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX687090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily