Medina, Mellanie

Medina, Mellanie is an individual health care provider with primary practice located at 5980 9Th St Bldg 1259 , Fort Belvoir VA 22060-5509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Medina, Mellanie can be contacted via phone (571) 231-1210.

Contact Information

Primary practice address
5980 9Th St Bldg 1259 Fort Belvoir VA 22060-5509
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024168478 Virginia

Profile Details

NPI number 1184958514
LBN Legal business name Medina, Mellanie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2009
Last updated Sep 16th, 2016 - about 8 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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