Individual
MS. MELISSA LEIGH SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9942
(804) 874-1008
Mailing address
702 ENON CHURCH RD, CHESTER, VA 23836-5912
(804) 536-4269
(866) 616-0686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167375
VA
Other
Enumeration date
10/12/2007
Last updated
03/20/2017
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