Melissa Marie Cantor, RN

Individual provider Active NPI Registered Nurse · Gate City, VA

NPI 1033257308 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033257308
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
0001186504 RN (VA)
Practice address
RT 6 Box 540
Gate City, VA 24251
Phone
(276) 452-1144
Fax
(276) 452-1140
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001186504 RNVAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001186504 RN VA Yes

Addresses

Primary practice location

RT 6 Box 540
Gate City, VA 24251

Mailing address

PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600

Other names

  • Miss Melissa Marie Brewer Other name

Other providers in Gate City, VA

All providers in Gate City, VA · Registered Nurse in Virginia

Sources for this page

Verify at the official NPI Registry.