MEDICARE: MRS. MELINDA RACQUEL THOMAS SULLIAN LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SC1501X	Community Health/Public Health Clinical Nurse Specialist	0002082414	VA

General Provider Information

NPI Number	:	1538903786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELINDA RACQUEL THOMAS SULLIAN LPN

Provider Business Mailing Address
First Line	:	3208 HERSHBERGER RD NW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24017-1842
Country	:	US
Telephone Number	:	540-227-8426
Fax Number	:

Provider Business Practice Location Address
First Line	:	1517 ASPEN ST NW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24017-3009
Country	:	US
Telephone Number	:	540-563-1219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2024
Last Update Date	:	06/22/2024

Similar Medicare Providers

1902848443 — SOUTHERNCARE, INC.
Practice Location Address:

5221 VALLEYPARK DR STE 1B
ROANOKE, VA
24019-3009

Practice Phone: 540-366-0927
Practice Fax: 540-366-0989

1770299877 — EBONY N GLOVER-EPPS LPC, NCC, LSATP
Practice Location Address:

2328 PETERS CREEK RD NW
ROANOKE, VA
24017-1621

Practice Phone: 540-345-2606
Practice Fax: 540-345-2606

1548268923 — GOOD SAMARITAN HOSPICE, INC.
Practice Location Address:

4751 COVE ROAD NW
ROANOKE, VA
24017

Practice Phone: 540-776-0198
Practice Fax: 540-776-0841

1730187048 — VIRGINIA VETERANS CARE CENTER
Practice Location Address:

4550 SHENANDOAH AVE NW
ROANOKE, VA
24017-4749

Practice Phone: 540-982-2860
Practice Fax: 540-982-8667

1558369827 — VICTOR H BELL M.D.
Practice Location Address:

3716 MELROSE AVE NW
ROANOKE, VA
24017

Practice Phone: 540-362-0360
Practice Fax: 540-366-5590

1275532921 — DR. DAVID S. GREGORY M.D.
Practice Location Address:

1314 PETERS CREEK RD NW
ROANOKE, VA
24017-2500

Practice Phone: 540-562-5700
Practice Fax: 540-562-4278

Directions to “ MRS. MELINDA RACQUEL THOMAS SULLIAN LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.