Provider Demographics
NPI:1629006390
Name:MELIONES, CHRISTINE D (PNP, FNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:D
Last Name:MELIONES
Suffix:
Gender:F
Credentials:PNP, FNP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:D
Other - Last Name:AGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP, FNP
Mailing Address - Street 1:6410 FANNIN ST STE 420
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3007
Mailing Address - Country:US
Mailing Address - Phone:919-434-3982
Mailing Address - Fax:
Practice Address - Street 1:6410 FANNIN ST STE 420
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3007
Practice Address - Country:US
Practice Address - Phone:713-500-5737
Practice Address - Fax:713-500-5751
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX934732163WP0200X, 363LP0200X, 363LP0222X
NC5001457363L00000X
NC01457363LC0200X
TXF1113035363LF0000X
TXAP137542363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care