MELISSA TREMBLAY EATHERLY


Address: 4502 34th St S, Arlington, VA 22206-1915
Phone: 8043891819

MELISSA TREMBLAY EATHERLY (NPI# 1013461995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013461995
Entity Type Individual
Full Name MELISSA TREMBLAY EATHERLY
Credential FNP-BC
Practice Address 4502 34th St S
Arlington
VA 22206-1915
Practice Telephone 8043891819
Mailing Telephone 8043891819
Enumeration Date 2016-08-09
Last Update Date 2016-08-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024173733 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4502 34TH ST S
City ARLINGTON
State VA
Zip Code 22206-1915

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City ARLINGTON
Zip Code 22206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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