Individual
MS. MELANIE ANNE HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00087922
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007996216
AETNA
—
01
—
1109037
COMMUNITY HEALTH
WA
01
—
209629000001
PHP-PROVIDENCE EMPLOYEES
—
01
—
211217100000
PREMERA BLUE CROSS
—
05
—
9627563
—
WA
01
—
PR21112990001
CIGNA
—
01
—
PREMERA BLUE CROSS
211217100000
—
01
—
QMXPR0061572
MOLINA
—
Enumeration date
05/22/2007
Last updated
07/09/2007
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