Individual
KRISTAL CELESTE MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(804) 519-0462
Mailing address
311 LYON CREST LN NE, OLYMPIA, WA 98506-9748
(253) 968-2289
(253) 968-2559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R092301
MD
Other
Enumeration date
12/02/2005
Last updated
11/14/2011
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