Individual
MELODY SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4011 TALBOT RD S STE 460, RENTON, WA 98055-5791
(425) 690-3484
(425) 690-9084
Mailing address
3600 LIND AVE, SUITE 100, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61166083
WA
363LF0000X
Family Nurse Practitioner
AP61166083
WA
Other
Enumeration date
05/24/2021
Last updated
08/04/2021
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