Individual
MELISSA YEN-CHING LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 861-3396
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60239311
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003161498
—
WA
01
—
8968689
MEDICARE PIN
WA
Enumeration date
07/21/2012
Last updated
03/17/2018
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