| Doctor Name: | MELISSA ANN MCCLEAN |
| NPI Number: | 1003101536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0024169415 |
| Business Practice Address: | 2900 Telestar Ct Falls Church, VA - 220421206 |
| Business Phone Number: | 7033966194 |
| Business Fax Number: | 7037791372 |
| Mailing Address: | 2900 Telestar Ct, FALLS CHURCH |
| State: | VA |
| Postal Code: | 220421206 |
| Phone Number: | 7033966194 |
| Fax Number: | 7037791372 |
| NPI Enumeration Date: | 06/13/2011 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 0024169415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |