Provider Demographics
NPI:1619052537
Name:WHITTAKER, MELANIE (ND)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:WHITTAKER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7206 267TH ST NW
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-6269
Mailing Address - Country:US
Mailing Address - Phone:360-629-2222
Mailing Address - Fax:360-629-7074
Practice Address - Street 1:7206 267TH ST NW
Practice Address - Street 2:SUITE 102
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-6269
Practice Address - Country:US
Practice Address - Phone:360-629-2222
Practice Address - Fax:360-629-7074
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA705NT175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath