Provider Demographics
NPI:1891101770
Name:BLAND, MELISSA KARIN (FNP-C)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:KARIN
Last Name:BLAND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 KEEZLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEYERS CAVE
Mailing Address - State:VA
Mailing Address - Zip Code:24486-2337
Mailing Address - Country:US
Mailing Address - Phone:540-234-9241
Mailing Address - Fax:540-234-9200
Practice Address - Street 1:1151 KEEZLETOWN RD
Practice Address - Street 2:
Practice Address - City:WEYERS CAVE
Practice Address - State:VA
Practice Address - Zip Code:24486-2337
Practice Address - Country:US
Practice Address - Phone:540-234-9241
Practice Address - Fax:540-234-9200
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171839363LA2200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health