Individual
MELISSA L MITRAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(571) 231-4863
(571) 231-6816
Mailing address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(571) 231-4863
(571) 231-6816
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332991
NY
363LF0000X
Family Nurse Practitioner
F332991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0F332991-033
—
NY
Enumeration date
03/22/2006
Last updated
07/09/2024
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