Provider Demographics
| NPI: | 1891108932 |
|---|---|
| Name: | ALLEN, MELANIE ANN (NP ARNP FNP-C) |
| Entity Type: | Individual |
| Prefix: | MS |
| First Name: | MELANIE |
| Middle Name: | ANN |
| Last Name: | ALLEN |
| Suffix: | |
| Gender: | F |
| Credentials: | NP ARNP FNP-C |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 424 W BAKERVIEW RD |
| Mailing Address - Street 2: | STE 105 #5025 |
| Mailing Address - City: | BELLINGHAM |
| Mailing Address - State: | WA |
| Mailing Address - Zip Code: | 98226 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 604-916-5899 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 22101 80TH AVE W |
| Practice Address - Street 2: | |
| Practice Address - City: | EDMONDS |
| Practice Address - State: | WA |
| Practice Address - Zip Code: | 98026-8161 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 604-916-5899 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2014-06-06 |
| Last Update Date: | 2022-09-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| WA | RN00142431 | 163W00000X |
| WA | AP61044248 | 363LF0000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
| No | 163W00000X | Nursing Service Providers | Registered Nurse |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| IL | 209025708 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| NM | 66670 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| DE | LG-0012010 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| AZ | RNP271936 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| NH | 088032-23 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| NE | 114016 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| UT | 12599470-8900 | Other | BOARD OF NURSING - NP PRESCRIPTIVE LICENSE |
| OR | 202202436NP-PP | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| MI | 4704385838 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| FL | APRN11017764 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| ND | R52006 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| TX | 1064877 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| UT | 12599470-4405 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| NY | 350329 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| NV | 848804 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| IA | A169327 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| CO | RXN.0106458-NP | Other | BOARD OF NURSING - NP PRESCRIPTIVE LICENSE |
| ID | 71338 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| CO | APN.0997331-NP | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| RI | APRN03241 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| MT | NUR-APRN-LIC-191601 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| NM | 5339 | Other | BOARD OF NURSING - NP PRESCRIPTIVE LICENSE |
| HI | APRN-3544-0 | Other | BOARD OF NURSING - NP PRACTICE LICENCE |
| SD | CP002334 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| AK | 188680 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| WY | 49293 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
| WA | AP61044248 | Other | BOARD OF NURSING - NP PRACTICE LICENSE |
