Most Relevant Information
Provider Data
| NPI Number: | 1003195892 |
| Provider Name: | MELISSA K HERSCH CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 161195 |
Most Important Dates
| Enumeration Date: | 08/10/2011 |
| Last Updated: | 05/29/2020 |
Provider Practice Location
3600 JOSEPH SIEWICK DR
FAIRFAX
VA
220331709
Practice Location Phone/Fax
| Phone: | 7033913129 |
| Fax: |
Provider Mailing Location
11781 LEE JACKSON MEMORIAL HWY STE 550
FAIRFAX
VA
220333336
Provider Mailing Phone/Fax
| Phone: | 7032959360 |
| Fax: | 8655412787 |