Basic Information
Provider Information
NPI: 1497135438
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ERSKINE
FirstName: MELISSA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STANTON
OtherFirstName: MELISSA
OtherMiddleName: B
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: PA-C
OtherLastNameType: 1
Mailing Information
Address1: 3241 WESTERN BRANCH BLVD
Address2: BAYVIEW PHYSICIANS
City: CHESAPEAKE
State: VA
PostalCode: 23321
CountryCode: US
TelephoneNumber: 7576863500
FaxNumber: 7576860541
Practice Location
Address1: 1060 FIRST COLONIAL ROAD
Address2: VIRGINIA BEACH GENERAL HOSPITAL
City: VIRGINIA BEACH
State: VA
PostalCode: 23451
CountryCode: US
TelephoneNumber: 7573958000
FaxNumber: 7576860541
Other Information
ProviderEnumerationDate: 06/04/2015
LastUpdateDate: 11/30/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X VAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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