Provider Demographics
NPI:1225184781
Name:ST. LAURENT, MELANIE E (NP)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:E
Last Name:ST. LAURENT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 KATY FWY
Mailing Address - Street 2:SUITE 535
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1903
Mailing Address - Country:US
Mailing Address - Phone:281-600-5000
Mailing Address - Fax:
Practice Address - Street 1:11511 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1903
Practice Address - Country:US
Practice Address - Phone:281-890-4285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX672585363L00000X, 363LF0000X
TXAP115439363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner