Provider Demographics
NPI:1417298324
Name:WHITTING, MELISSA (RN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:WHITTING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PSC 809
Mailing Address - Street 2:BOX 2262
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09626-2262
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 809
Practice Address - Street 2:BOX 2262
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09626-2262
Practice Address - Country:US
Practice Address - Phone:349-558-2393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001196134163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse