Individual
MELISSA M MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 MEDICAL PKWY STE 206, CHESAPEAKE, VA 23320-4985
(757) 690-8990
(757) 198-6944
Mailing address
667 KINGSBOROUGH SQ STE 101, CHESAPEAKE, VA 23320-4999
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
0024180238
VA
363LG0600X
Gerontology Nurse Practitioner
0024180238
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2020
Last updated
06/24/2024
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