Provider Demographics
NPI:1407352503
Name:MELVIN, MEGAN JANE (DNP, ARNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:JANE
Last Name:MELVIN
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:JANE
Other - Last Name:ARHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, ARNP, BSN, RN
Mailing Address - Street 1:PO BOX 50095
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5095
Mailing Address - Country:US
Mailing Address - Phone:206-520-5700
Mailing Address - Fax:
Practice Address - Street 1:908 JEFFERSON ST FL 5
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2433
Practice Address - Country:US
Practice Address - Phone:206-520-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60774862363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner