Provider Demographics
NPI:1255996997
Name:STOLTE, MELANIE MARIE (APN)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:MARIE
Last Name:STOLTE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:MARIE
Other - Last Name:NICHOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:550 WESTCOTT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-9001
Mailing Address - Country:US
Mailing Address - Phone:713-864-6694
Mailing Address - Fax:713-864-6698
Practice Address - Street 1:550 WESTCOTT ST STE 520
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-9001
Practice Address - Country:US
Practice Address - Phone:713-864-6694
Practice Address - Fax:713-864-6698
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141369363LP0808X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health