Provider Demographics
NPI:1881961407
Name:WRIGHT, MELANIE JANE (NP)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:JANE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3620 JOSEPH SIEWICK DR
Mailing Address - Street 2:400
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1756
Mailing Address - Country:US
Mailing Address - Phone:703-264-7801
Mailing Address - Fax:703-264-7807
Practice Address - Street 1:3620 JOSEPH SIEWICK DR
Practice Address - Street 2:400
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1756
Practice Address - Country:US
Practice Address - Phone:703-264-7801
Practice Address - Fax:703-264-7807
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024169762363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology