Marcia A Melquist, FNP-C
Nurse Practitioner, Family in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1164055372
StatusActive
Last updated in NPPESMay 30, 2020
Details
- NPI
- 1164055372
- Entity type
- Individual (NPI-1)
- Name
- Marcia A Melquist
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2020
- Certification date
- May 30, 2020
- Last updated
- May 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024178793 | VA | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 0001234004 | VA | |
| 163WH1000X | Registered Nurse, Hospice | 0001234004 | VA |
Practice location
5041 Corporate Woods Dr Ste 200Virginia Beach, VA 23462-4375
Phone 757-490-9323
Mailing address
5041 Corporate Woods Dr Ste 200Virginia Beach, VA 23462-4375
Phone 757-567-3992
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