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Individual

MELANIE JILL WILHELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP CPNP-PC

Contact information

Practice address
612 KINGSBOROUGH SQ STE 301, CHESAPEAKE, VA 23320-5055
(757) 436-1770
(757) 436-4303
Mailing address
601 CHILDRENS LN STE 200, NORFOLK, VA 23507-1910
(757) 461-6342

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0017137517
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010261520
VA
01
10007206
OPTIMA INSURANCE
Enumeration date
07/12/2006
Last updated
11/12/2024
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