Provider Demographics
NPI:1033468327
Name:BRINDLE, MELANIE ANNE LYON (CPM)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:ANNE LYON
Last Name:BRINDLE
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20696 BOND RD NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-9015
Mailing Address - Country:US
Mailing Address - Phone:360-536-8101
Mailing Address - Fax:360-841-7737
Practice Address - Street 1:20696 BOND RD NE
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-9015
Practice Address - Country:US
Practice Address - Phone:360-536-8101
Practice Address - Fax:360-841-7737
Is Sole Proprietor?:No
Enumeration Date:2012-09-03
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife