Provider Demographics
NPI:1760704647
Name:CAMBRE, MELISA ANN (NP-C)
Entity Type:Individual
Prefix:
First Name:MELISA
Middle Name:ANN
Last Name:CAMBRE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:MELISA
Other - Middle Name:ANN
Other - Last Name:SPELLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12804 MEDINA RIVER WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2276
Mailing Address - Country:US
Mailing Address - Phone:512-619-7816
Mailing Address - Fax:
Practice Address - Street 1:2401 S 31ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76508-0002
Practice Address - Country:US
Practice Address - Phone:254-724-1505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX681819363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily