Provider Demographics
NPI:1821684390
Name:MELTZER, VIRGINIA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:MELTZER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 S BAYSHORE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5402
Mailing Address - Country:US
Mailing Address - Phone:866-334-6636
Mailing Address - Fax:305-675-8387
Practice Address - Street 1:2665 S BAYSHORE DR STE 220
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-5402
Practice Address - Country:US
Practice Address - Phone:866-334-6636
Practice Address - Fax:305-675-8387
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24186711363LP0808X
NY405733363LP0808X
TX1094683363LP0808X
WI13953-33363LP0808X
TN33616363LP0808X
CA95015948363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health