Individual
MELISSA ANNE PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
10000 NE 7TH AVE STE 410, VANCOUVER, WA 98685-4548
(360) 836-0313
(833) 553-2040
Mailing address
10000 NE 7TH AVE STE 410, VANCOUVER, WA 98685-4548
(360) 836-4455
(833) 553-2040
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10030523
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61585607
WA
Other
Enumeration date
01/23/2023
Last updated
11/18/2024
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