Doctor Name: | MRS. MELINDA VAUGHAN SCHNACKENBERG |
NPI Number: | 1023291580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RTR(CV) |
License Number: | 00-9371 |
Business Practice Address: | 700 Treasure Cay Dr 208 Fort Pierce, FL - 349475386 |
Business Phone Number: | 9048064178 |
Business Fax Number: | |
Mailing Address: | 700 Treasure Cay Dr, 208 FORT PIERCE |
State: | FL |
Postal Code: | 349475386 |
Phone Number: | 9048064178 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2007 |
NPI Last Update Date: | 12/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XC2901X |
License Number: | 00-9371 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Cardiovascular Invasive Specialist |
Taxonomy Definition: |