Individual
KRISTIN MELLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 716-4511
Mailing address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 716-4511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60369533
WA
363LF0000X
Family Nurse Practitioner
Primary
60506140
WA
Other
Enumeration date
09/01/2014
Last updated
02/25/2015
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