Provider Demographics
NPI:1598010951
Name:COMEAUX, MELISSA L (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:L
Last Name:COMEAUX
Suffix:
Gender:F
Credentials:APRN, FNP-C
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Mailing Address - Street 1:501 DOCTOR MICHAEL DEBAKEY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5724
Mailing Address - Country:US
Mailing Address - Phone:337-217-7762
Mailing Address - Fax:337-312-6708
Practice Address - Street 1:277 N HIGHWAY 171 STE 10
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70611-5374
Practice Address - Country:US
Practice Address - Phone:337-217-7762
Practice Address - Fax:337-312-6708
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2017-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAAP07527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2404032Medicaid
LA453465YH5NMedicare PIN