Individual
MELANIE JEANNE THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
(360) 306-8374
Mailing address
4409 RIDGEMONT DR, EVERETT, WA 98203-1832
(425) 750-3139
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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