Mitravich, Melissa L

Mitravich, Melissa L is an individual health care provider with primary practice located at 9300 Dewitt Loop , Ft Belvoir VA 22060-5285. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mitravich, Melissa L can be contacted via phone (571) 231-4863.

Contact Information

Primary practice address
9300 Dewitt Loop Ft Belvoir VA 22060-5285
Phone: (571) 231-4863
Fax: (571) 231-6816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332991 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F332991 New York

Profile Details

NPI number 1740249135
LBN Legal business name Mitravich, Melissa L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740249135 NPPES
New York MEDICAID 0F332991-033

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