Individual
MELISSA ANN MCCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2900 TELESTAR CT, FALLS CHURCH, VA 22042-1206
(703) 396-6194
(703) 779-1372
Mailing address
2900 TELESTAR CT, FALLS CHURCH, VA 22042-1206
(703) 396-6194
(703) 779-1372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024169415
VA
363LA2200X
Adult Health Nurse Practitioner
0024169415
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024169415
LICENSE
VA
Enumeration date
06/13/2011
Last updated
07/09/2021
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