Provider Demographics
NPI:1376505602
Name:NELSON, MELISSA BYRNE (MD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:BYRNE
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:B
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7113 THREE CHOPT RD SUITE 101
Mailing Address - Street 2:PEDIATRIC ASSOC. OF RICHMOND, INC.
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226
Mailing Address - Country:US
Mailing Address - Phone:804-282-4205
Mailing Address - Fax:804-673-6432
Practice Address - Street 1:7113 THREE CHOPT RD SUITE 101
Practice Address - Street 2:PEDIATRIC ASSOC. OF RICHMOND, INC.
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-282-4205
Practice Address - Fax:804-673-6432
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236198208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics