Individual
MS. MELINDA ANNE HARRIS-MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-C
Contact information
Practice address
5201 DOLPHIN LN NW, OLYMPIA, WA 98502-9226
(360) 866-8143
Mailing address
PO BOX 89, CHEHALIS, WA 98532-0089
(360) 740-0888
(360) 740-0555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP 60238471
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034229
—
WA
Enumeration date
08/05/2011
Last updated
07/19/2016
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