Individual
MELANIE R HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4545 CORDATA PKWY, SUITE 1E, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5679
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5679
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP60231193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0287627
L&I AND CRIME VICTIMS
WA
01
—
1003193632
REGENCE BLUE SHIELD
WA
05
—
1003193632
—
WA
Enumeration date
11/10/2011
Last updated
02/17/2012
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