Individual
MELISSA LILA BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, RN
Contact information
Practice address
2202 S CEDAR ST STE 100, TACOMA, WA 98405-2318
(253) 215-6408
Mailing address
583 BATTERY ST APT 714, SEATTLE, WA 98121-1968
(509) 499-1280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60239096
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60833314
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60833314
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
02/06/2018
Last updated
11/08/2023
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