Provider Demographics
NPI:1740386630
Name:WHITE, MELISSA MICHAELS (NP)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MICHAELS
Last Name:WHITE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:MICHAELS
Other - Last Name:MCELROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:5001 N PIEDRAS ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-4210
Mailing Address - Country:US
Mailing Address - Phone:915-313-3000
Mailing Address - Fax:915-532-2099
Practice Address - Street 1:5001 N PIEDRAS ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79930-4210
Practice Address - Country:US
Practice Address - Phone:915-313-3000
Practice Address - Fax:915-532-2099
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily