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Individual

MELISSA TREMBLAY EATHERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-4001
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5741

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024173733
VA
363LF0000X
Family Nurse Practitioner
Primary
0024173733
VA

Other

Enumeration date
08/09/2016
Last updated
10/27/2022
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