Provider Demographics
NPI:1639617368
Name:BINVERSIE, MELANIE (DOULA)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:BINVERSIE
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 21ST ST
Mailing Address - Street 2:
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-1523
Mailing Address - Country:US
Mailing Address - Phone:804-704-1189
Mailing Address - Fax:
Practice Address - Street 1:5900 21ST ST
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-1523
Practice Address - Country:US
Practice Address - Phone:804-704-1189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula