Provider Demographics
NPI:1861387482
Name:AGUILAR, MELISSA (DNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9850 TRINITY CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CHURCH ROAD
Mailing Address - State:VA
Mailing Address - Zip Code:23833-2333
Mailing Address - Country:US
Mailing Address - Phone:804-241-9120
Mailing Address - Fax:
Practice Address - Street 1:130 CHURCH AVE SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24011-1906
Practice Address - Country:US
Practice Address - Phone:540-769-3964
Practice Address - Fax:540-473-3456
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024193728363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner