Healthcare Provider Details

I. General information

NPI: 1669927091
Provider Name (Legal Business Name): MELANIE L ZIFF MS, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 08/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N HAMILTON ST
RICHMOND VA
23221-2601
US

IV. Provider business mailing address

2414 HANOVER AVE
RICHMOND VA
23220-3406
US

V. Phone/Fax

Practice location:
  • Phone: 804-355-4358
  • Fax:
Mailing address:
  • Phone: 814-571-5507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024173833
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: