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Ms. Tandy Alice Mellard, PNP
Pediatric Nurse Practitioner in Austin, Texas
NPI 1427138833

Tandy Alice Mellard is a Pediatric Nurse Practitioner based in Austin, TX and is specialized in Pediatrics. Tandy Alice Mellard practices in Austin, TX and has the professional credentials of PNP. The NPI Number for Tandy Alice Mellard is 1427138833 and holds a License No. 646493 (Texas).

The current practice location address for Tandy Alice Mellard is 4900 Mueller Blvd, Austin, TX and can be reached out via phone at 512-324-0197 and via fax at 512-324-0780. You can also correspond with Tandy Alice Mellard through the mailing address at 1301 BARBARA JORDAN BLVD, AUSTIN, TX - 78723-3077 (mailing address contact number: 512-628-1932).

Location: 4900 Mueller Blvd, Austin, TX, 78723-3077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427138833
Provider Name
Tandy Alice Mellard
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
4900 Mueller Blvd, Austin, TX, 78723-3077
Phone Number
512-324-0197
Fax Number
512-324-0780
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
176872303 05 TX
institution
Provider Business Practice Location Address Details
Address
4900 Mueller Blvd
City
Austin
State
Texas
Zip
78723-3079
Phone Number
512-324-0197
Fax Number
512-324-0780
person
Provider Business Mailing Address Details
Address
1301 Barbara Jordan Blvd
City
Austin
State
Texas
Zip
78723-3077
Phone Number
512-628-1932
Fax Number
512-628-1801
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
646493 (Texas)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
646493 (Texas)
Definition
Definition to come...
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