Provider Demographics
NPI:1659687416
Name:DAYAL, MELANI INOKA (ACNS-BC)
Entity Type:Individual
Prefix:MRS
First Name:MELANI
Middle Name:INOKA
Last Name:DAYAL
Suffix:
Gender:F
Credentials:ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3600 W PARMER LN STE 106
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-4111
Mailing Address - Country:US
Mailing Address - Phone:512-977-0123
Mailing Address - Fax:512-977-0126
Practice Address - Street 1:5920 W WILLIAM CANNON DR STE 150
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749
Practice Address - Country:US
Practice Address - Phone:512-441-9799
Practice Address - Fax:512-441-9814
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX724785364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health