Provider Demographics
NPI:1184963472
Name:CATALINE, MELONY K (FNP)
Entity type:Individual
Prefix:
First Name:MELONY
Middle Name:K
Last Name:CATALINE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MELONY
Other - Middle Name:KAY
Other - Last Name:KENNER MALOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3315 UNICORN LAKE BLVD STE 171
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-0127
Mailing Address - Country:US
Mailing Address - Phone:940-320-2188
Mailing Address - Fax:940-320-5643
Practice Address - Street 1:3315 UNICORN LAKE BLVD STE 171
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-0127
Practice Address - Country:US
Practice Address - Phone:940-320-2188
Practice Address - Fax:940-320-5643
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123144363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care