Provider Demographics
NPI:1104705441
Name:NETTLER, MELANIE (CGC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:NETTLER
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1851 N GEORGE MASON DR STE 5B
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-1953
Mailing Address - Country:US
Mailing Address - Phone:908-337-5413
Mailing Address - Fax:
Practice Address - Street 1:1851 N GEORGE MASON DR STE 5B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1953
Practice Address - Country:US
Practice Address - Phone:908-337-5413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS