Individual
MELISSA M WATERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8901 W GAGE BLVD, KENNEWICK, WA 99336-7148
(509) 735-1100
(509) 735-1180
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60083872
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60083872
WA
Other
Enumeration date
04/07/2009
Last updated
04/28/2021
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