Individual
HABTAMUA MELAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MSN, FNP, ARNP
Contact information
Practice address
546 N JEFFERSON LN, SPOKANE, WA 99201-7104
(509) 624-0111
(509) 227-7070
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004850
WA
363L00000X
Nurse Practitioner
RN00114991
WA
363LF0000X
Family Nurse Practitioner
AP30004850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147661
L & I
WA
05
—
9626581
—
WA
Enumeration date
05/08/2006
Last updated
06/18/2021
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