Provider Demographics
NPI:1992532139
Name:DEBELL, MELINDA GAIL
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:GAIL
Last Name:DEBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:GAIL
Other - Last Name:SHORAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-4324
Mailing Address - Country:US
Mailing Address - Phone:571-334-1425
Mailing Address - Fax:
Practice Address - Street 1:217 WILLIAMSBURG RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-4324
Practice Address - Country:US
Practice Address - Phone:571-334-1425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide