Individual
MELANIE M PETCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024164776
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44700N
OPTIMA,FAMILY CARE, FAMIS
VA
01
—
541778786
NC HEALTH
VA
05
—
7789688
—
VA
Enumeration date
07/12/2006
Last updated
01/10/2013
Update your record
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