Basic Information
| Provider Information | |||||||||
| NPI: | 1144684622 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KLAUSMAN | ||||||||
| FirstName: | MELISSA | ||||||||
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| Credential: | CNM, WHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10714 DUNDAS OAK CT | ||||||||
| Address2: | |||||||||
| City: | BURKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 220152428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2284244172 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8101 HINSON FARM RD | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223063403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032249999 | ||||||||
| FaxNumber: | 8663256534 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2016 | ||||||||
| LastUpdateDate: | 04/11/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 0024173397 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health | 367A00000X | 0024173397 | VA | N | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.