Doctor Name: | MRS. MELINDA TOUSSAINT |
NPI Number: | 1033519954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0024172030 |
Business Practice Address: | 4419 Beckenham Pl Upper Marlboro, MD - 207726912 |
Business Phone Number: | 7034027605 |
Business Fax Number: | |
Mailing Address: | 4419 Beckenham Pl, UPPER MARLBORO |
State: | MD |
Postal Code: | 207726912 |
Phone Number: | 7034027605 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2014 |
NPI Last Update Date: | 10/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024172030 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |