Melissa Tremblay Eatherly, FNP-BC
Nurse Practitioner, Family in Falls Church, VA. Individual provider (NPI-1).
NPI number1013461995
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1013461995
- Entity type
- Individual (NPI-1)
- Name
- Melissa Tremblay Eatherly
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2016
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024173733 | VA | Yes |
| 363L00000X | Nurse Practitioner | 0024173733 | VA |
Practice location
3300 Gallows RdFalls Church, VA 22042-3300
Phone 703-776-4001
Mailing address
Po Box 37174Baltimore, MD 21297-3174
Phone 571-423-5741
Other practice locations
4502 34th St S
Arlington, VA 22206-1915
Arlington, VA 22206-1915
Phone 804-389-1819
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