Provider Demographics
NPI:1144436171
Name:MELERO, ROBIN MEGAN (PA-C)
Entity type:Individual
Prefix:MS
First Name:ROBIN MEGAN
Middle Name:
Last Name:MELERO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3289 WOODBURN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-6800
Mailing Address - Country:US
Mailing Address - Phone:703-560-7900
Mailing Address - Fax:703-560-8408
Practice Address - Street 1:3289 WOODBURN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-6800
Practice Address - Country:US
Practice Address - Phone:703-560-7900
Practice Address - Fax:703-560-8408
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC03473363A00000X
VA0110003390363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant