Individual
MELISSA BROOKE BARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA152631
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144520453
—
WA
05
—
500633281
—
OR
Enumeration date
11/02/2010
Last updated
12/22/2021
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