Individual
MELISSA J WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(703) 766-9737
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN589576
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172823
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225422967
—
VA
Enumeration date
03/19/2015
Last updated
07/31/2015
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