| Doctor Name: | MELISSA DELEON |
| NPI Number: | 1053778670 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNPC-AG |
| License Number: | 0024173196 |
| Business Practice Address: | 1115 Boulders Pkwy Suite 100 North Chesterfield, VA - 232254067 |
| Business Phone Number: | 8043201339 |
| Business Fax Number: | 8043305829 |
| Mailing Address: | 1115 Boulders Pkwy Ste 200, NORTH CHESTERFIELD |
| State: | VA |
| Postal Code: | 232254067 |
| Phone Number: | 8045605595 |
| Fax Number: | 8045609029 |
| NPI Enumeration Date: | 01/27/2016 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 0024173196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |