Doctor Name: | MELISSA LIU MYERS |
NPI Number: | 1073694485 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 266021 |
Business Practice Address: | 5454 Wisconsin Ave Ste 925 Chevy Chase, MD - 208156901 |
Business Phone Number: | 3016569070 |
Business Fax Number: | 3019865561 |
Mailing Address: | 909 New Jersey Ave Se, Apt 816 WASHINGTON |
State: | DC |
Postal Code: | 200033382 |
Phone Number: | 3016569070 |
Fax Number: | 3019865561 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 05/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 266021 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |