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Individual

MERISSA JEAN MCEWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
450 NW GILMAN BLVD STE 105, ISSAQUAH, WA 98027
(425) 651-4242
Mailing address
450 NW GILMAN BLVD STE 105, ISSAQUAH, WA 98027-2483

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60862931
WA
363L00000X
Nurse Practitioner
AP61436079
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61436079
WA

Other

Enumeration date
08/28/2020
Last updated
03/06/2025
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