Healthcare Provider Details

I. General information

NPI: 1023398153
Provider Name (Legal Business Name): MELISSA ANNE DARRAGH MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2011
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N 115TH ST
SEATTLE WA
98133-8401
US

IV. Provider business mailing address

PO BOX 391
GRANITE FALLS WA
98252-0391
US

V. Phone/Fax

Practice location:
  • Phone: 206-668-1244
  • Fax:
Mailing address:
  • Phone: 425-737-4516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70150058-NP
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00149099
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN00149099
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: