Individual
MS. MELISSA ELAINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356540, SEATTLE, WA 98195-0001
(206) 598-4260
(206) 598-8812
Mailing address
3708 CASCADIA AVE. S., SEATTLE, WA 98144
(206) 234-6611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00135388
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006937
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9645425
—
WA
Enumeration date
04/06/2006
Last updated
01/21/2010
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