Provider Demographics
NPI:1093022642
Name:BIGONI, MELANIE DANNIELLE (LVN)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:DANNIELLE
Last Name:BIGONI
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 1:2908 N ZACHARY ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8660
Mailing Address - Country:US
Mailing Address - Phone:805-704-8275
Mailing Address - Fax:
Practice Address - Street 1:2908 N ZACHARY ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-8660
Practice Address - Country:US
Practice Address - Phone:805-704-8275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251980164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse