Wiest, Melanie Lyn

Wiest, Melanie Lyn is an individual health care provider with primary practice located at 4500 Pond Way Ste 170 , Woodbridge VA 22192-5596. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wiest, Melanie Lyn can be contacted via phone (571) 542-4950.

Contact Information

Primary practice address
4500 Pond Way Ste 170 Woodbridge VA 22192-5596
Phone: (571) 542-4950
Fax: (571) 285-1160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5005287 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024172873 Virginia

Profile Details

NPI number 1104108554
LBN Legal business name Wiest, Melanie Lyn
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2011
Last updated Sep 2nd, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104108554 NPPES
North Carolina MEDICAID 7005557
North Carolina MEDICAID 1104108554

Popular Providers