Provider Demographics
NPI:1003511817
Name:FOLTZ, MELISSA LEANNA (RN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:LEANNA
Last Name:FOLTZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:LEANNA
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:81 EASY ST
Mailing Address - Street 2:
Mailing Address - City:DUTTON
Mailing Address - State:VA
Mailing Address - Zip Code:23050-9733
Mailing Address - Country:US
Mailing Address - Phone:804-637-1966
Mailing Address - Fax:
Practice Address - Street 1:9300 GEORGE WASHINGTON MEM HWY
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23692-4069
Practice Address - Country:US
Practice Address - Phone:804-898-0354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001181529163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool