Provider Demographics
NPI:1376044545
Name:EVEREKLIAN, MELVINA SONIA (CRNP)
Entity Type:Individual
Prefix:
First Name:MELVINA
Middle Name:SONIA
Last Name:EVEREKLIAN
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:950 N GLEBE RD STE 700
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-4173
Mailing Address - Country:US
Mailing Address - Phone:571-982-6636
Mailing Address - Fax:240-696-1353
Practice Address - Street 1:8365 GREENSBORO DR STE A
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3530
Practice Address - Country:US
Practice Address - Phone:703-356-4444
Practice Address - Fax:703-734-0129
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2022-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR178118363LP0200X
VA0024183842363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics