Individual
MELISSA ANN CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W MAIN ST, RADFORD, VA 24141-1588
(540) 838-8000
Mailing address
401 W MAIN ST, RADFORD, VA 24141-1588
(540) 838-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190888
VA
Other
Enumeration date
08/26/2024
Last updated
09/18/2025
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