Individual
MELISSA DIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
550 MORSE ST NE APT 331, WASHINGTON, DC 20002-7193
(678) 936-0382
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN714295
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024183476
VA
Other
Enumeration date
12/03/2019
Last updated
05/17/2022
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