Individual
MELANIE JEANNE THROCKMORTON
Active
Individual
MELANIE JEANNE THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00065125
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3002175
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328358-21
ANCC CERTIFICATION # AS A
—
05
—
9625443
—
WA
01
—
AP30002175
ARNP LICENSE
WA
01
—
RN00065125
RN LICENSE
WA
Enumeration date
04/03/2006
Last updated
08/27/2019
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