Individual
MELISSA TAN ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1933 EDWIN DR STE 208, CHESAPEAKE, VA 23322-6531
(757) 252-5820
Mailing address
1933 EDWIN DR STE 208, CHESAPEAKE, VA 23322-6531
(757) 252-5820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170004
VA
363LF0000X
Family Nurse Practitioner
003688
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024170004
STATE OF VIRGINIA
VA
01
—
003688
STATE LICENSE
CT
Enumeration date
10/01/2007
Last updated
07/25/2024
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