Provider Demographics
NPI:1316452519
Name:MELENDEZ, GISELLE (APRN, MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:GISELLE
Middle Name:
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:APRN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41214 FISHER ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33109-1255
Mailing Address - Country:US
Mailing Address - Phone:305-503-8634
Mailing Address - Fax:305-777-9640
Practice Address - Street 1:41214 FISHER ISLAND DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33109-1255
Practice Address - Country:US
Practice Address - Phone:305-503-8634
Practice Address - Fax:305-777-9640
Is Sole Proprietor?:No
Enumeration Date:2017-12-10
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9228451363LF0000X
FLAPRN9228451363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily