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Individual
MELANIE JOAN ANTONICH
Active
Individual
MELANIE JOAN ANTONICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
256983
AZ
363LF0000X
Family Nurse Practitioner
AP60188632
WA
367A00000X
Advanced Practice Midwife
Primary
AP60262504
WA
Other
Enumeration date
10/13/2011
Last updated
11/07/2025
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