Healthcare Provider Details

I. General information

NPI: 1881961407
Provider Name (Legal Business Name): MELANIE JANE WRIGHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2011
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 JOSEPH SIEWICK DR 400
FAIRFAX VA
22033-1756
US

IV. Provider business mailing address

1101 WILSON BLVD FL 26
ARLINGTON VA
22209-2211
US

V. Phone/Fax

Practice location:
  • Phone: 703-264-7801
  • Fax: 703-264-7807
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number0024169762
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: