Provider Demographics
NPI:1528033818
Name:RAUGUST, MELODIE MARIE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MELODIE
Middle Name:MARIE
Last Name:RAUGUST
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Gender:F
Credentials:ARNP
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Mailing Address - Street 1:PO BOX 1954
Mailing Address - Street 2:1721 FIELD CREST PLACE
Mailing Address - City:BUCKLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98321-1954
Mailing Address - Country:US
Mailing Address - Phone:360-829-9099
Mailing Address - Fax:360-829-9199
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER
Practice Address - Street 2:9040 REID ST., ATTN: MCHJ-QCR
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-2252
Practice Address - Fax:253-968-3278
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WAAP30002163363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health