Healthcare Provider Details

I. General information

NPI: 1760849442
Provider Name (Legal Business Name): MELANIE CHRISTINE BROWDER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2016
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W IRONWOOD DR STE 250
COEUR D ALENE ID
83814-1415
US

IV. Provider business mailing address

PO BOX 35145 #40023
SEATTLE WA
98124
US

V. Phone/Fax

Practice location:
  • Phone: 208-765-8585
  • Fax: 425-407-1112
Mailing address:
  • Phone: 425-407-1000
  • Fax: 425-407-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA-01435
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP 9386489
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number62067
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: