Individual
MELISSA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5569
Mailing address
102 MELBOURNE PARK CIR APT B, CHARLOTTESVILLE, VA 22901-3922
(434) 531-8130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024181835
VA
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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