Kresge, Melchizedek Rod

Kresge, Melchizedek Rod is an sole proprietor health care provider with primary practice located at 11204 Waples Mill Rd , Fairfax VA 22030-6036. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Kresge, Melchizedek Rod can be contacted via phone (703) 218-8500.

Contact Information

Primary practice address
11204 Waples Mill Rd Fairfax VA 22030-6036
Phone: (703) 218-8500
Fax: (703) 359-0463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024177937 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024177937 Virginia

Profile Details

NPI number 1942854187
LBN Legal business name Kresge, Melchizedek Rod
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2019
Last updated Dec 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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