Individual
MS. MELISSA ANN FUKUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
631 STRANDER BLVD STE G, TUKWILA, WA 98188-2963
(206) 717-4594
Mailing address
509 SW 104TH ST, SEATTLE, WA 98146-1501
(206) 717-4595
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60293527
WA
Other
Enumeration date
08/07/2012
Last updated
04/22/2020
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