MEDICARE: MELIORATION ASSURANCE LLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1427765874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELIORATION ASSURANCE LLC

Provider Business Mailing Address
First Line	:	2800 EISENHOWER AVE STE 220-C20
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-5204
Country	:	US
Telephone Number	:	703-977-8741
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 EISENHOWER AVE STE 220-C20
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-5204
Country	:	US
Telephone Number	:	703-977-8741
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AUSTIN SKELTON
Credential	:	FNP
Telephone Number	:	540-268-0676

Provider Enumeration Date	:	11/03/2022
Last Update Date	:	11/03/2022

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