Healthcare Provider Details

I. General information

NPI: 1750299327
Provider Name (Legal Business Name): MELISSA ROSE VAN ORMAN MS, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10311 BROOKMOOR DR
SILVER SPRING MD
20901-2624
US

IV. Provider business mailing address

10311 BROOKMOOR DR
SILVER SPRING MD
20901-2624
US

V. Phone/Fax

Practice location:
  • Phone: 202-657-7764
  • Fax:
Mailing address:
  • Phone: 202-657-7764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: