Basic Information
Provider Information
NPI: 1871922724
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZARYCH
FirstName: MELISSA
MiddleName: ELIZABETH
NamePrefix: MS.
NameSuffix:  
Credential: CNM, WHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3336 MILITARY RD NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200151722
CountryCode: US
TelephoneNumber: 6099923582
FaxNumber:  
Practice Location
Address1: 26005 RIDGE RD
Address2: SUITE 200
City: DAMASCUS
State: MD
PostalCode: 208721892
CountryCode: US
TelephoneNumber: 3014142300
FaxNumber: 3014142306
Other Information
ProviderEnumerationDate: 11/01/2013
LastUpdateDate: 10/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XR194630MDY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


Home