MEDICARE: MELISSA LEONARD WARWICK MS, RDN, CSP, LDN

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	174H00000X	Health Educator
2	133V00000X	Registered Dietitian	L005234	NC

General Provider Information

NPI Number	:	1396233169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LEONARD WARWICK MS, RDN, CSP, LDN

Provider Business Mailing Address
First Line	:	1520 BELLE VIEW BLVD # 5799
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6530
Country	:	US
Telephone Number	:	571-581-5375
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 BELLE VIEW BLVD # 5799
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6530
Country	:	US
Telephone Number	:	571-581-5375
Fax Number	:

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

Provider Enumeration Date	:	04/27/2018
Last Update Date	:	03/02/2026

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