Provider Demographics
NPI:1376904607
Name:ALHEZAYEN, MELISSA ANA (NP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ANA
Last Name:ALHEZAYEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 W PARKWAY ST # 1018
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-9046
Mailing Address - Country:US
Mailing Address - Phone:888-453-5332
Mailing Address - Fax:888-453-5332
Practice Address - Street 1:414 W PARKWAY ST # 1018
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-9046
Practice Address - Country:US
Practice Address - Phone:888-453-5332
Practice Address - Fax:888-453-5332
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX132640363LP0808X
TXAP132640363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology