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Individual

MELISSA SUE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 289-8678
Mailing address
2667 AVENIR PLACE, APT 3223, VIENNA, VA 22180
(908) 455-0266

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R198239
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
0024180049
VA

Other

Enumeration date
09/03/2020
Last updated
09/03/2020
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