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NPI Code Detail

MEDICARE: MELANIE JEANNE THROCKMORTON ARNP

MEDICARE: MELANIE JEANNE THROCKMORTON ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN00065125WA
2363LA2200XAdult Health Nurse PractitionerAP3002175WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP30002175OTHERWAARNP LICENSE
20328358-21OTHERANCC CERTIFICATION # AS A
3RN00065125OTHERWARN LICENSE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669434031
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE JEANNE THROCKMORTON ARNP
Provider Business Mailing Address
First Line : 4409 RIDGEMONT DR
Second Line :
City : EVERETT
State : WA
Zip : 98203-1832
Country : US
Telephone Number : 425-750-3139
Fax Number :
Provider Business Practice Location Address
First Line : 4120 MERIDIAN ST STE 220
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-5575
Country : US
Telephone Number : 360-922-3030
Fax Number : 360-306-8374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 08/27/2019

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