Provider Demographics
NPI:1891417911
Name:BELCHER, MELISSA
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:BELCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4667 SLATE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26169-8165
Mailing Address - Country:US
Mailing Address - Phone:304-210-1147
Mailing Address - Fax:
Practice Address - Street 1:417 GRAND PARK DR
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26105-0002
Practice Address - Country:US
Practice Address - Phone:304-422-9293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV110153163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health