Individual
MARCIA A MELQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5041 CORPORATE WOODS DR STE 200, VIRGINIA BEACH, VA 23462-4375
(757) 490-9323
Mailing address
5041 CORPORATE WOODS DR STE 200, VIRGINIA BEACH, VA 23462-4375
(757) 567-3992
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
0001234004
VA
163WP0808X
Psychiatric/Mental Health Registered Nurse
0001234004
VA
363LF0000X
Family Nurse Practitioner
Primary
0024178793
VA
Other
Enumeration date
02/16/2020
Last updated
05/30/2020
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