Provider Demographics
NPI:1134629090
Name:MCBURNEY, MELODY ANN (LVN)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:ANN
Last Name:MCBURNEY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 PLAZA ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-3023
Mailing Address - Country:US
Mailing Address - Phone:325-829-3654
Mailing Address - Fax:
Practice Address - Street 1:1025 PLAZA ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-3023
Practice Address - Country:US
Practice Address - Phone:325-829-3654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-17
Last Update Date:2018-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX142955164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse