Provider Demographics
NPI:1326191495
Name:STRINGER, MELODY MILLS (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:MILLS
Last Name:STRINGER
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:MELODY
Other - Middle Name:MARIAN
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:700 NE 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-1913
Mailing Address - Country:US
Mailing Address - Phone:360-397-3352
Mailing Address - Fax:360-604-1771
Practice Address - Street 1:700 NE 87TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-1913
Practice Address - Country:US
Practice Address - Phone:360-397-3352
Practice Address - Fax:360-604-1761
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00164155163W00000X
WAAP30007318363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA42728UOtherREGENCE BLUESHIELD
WA9652041Medicaid
WA0218385OtherLABOR & INDUSTRY
WA42728UOtherREGENCE BLUESHIELD
WAQ77151Medicare UPIN