Provider Demographics
NPI:1992029730
Name:FORSLUND, MELISSA KAY (RN, BSN, CNOR)
Entity Type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:KAY
Last Name:FORSLUND
Suffix:
Gender:F
Credentials:RN, BSN, CNOR
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:KAY
Other - Last Name:CHRISTIANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, CNOR
Mailing Address - Street 1:13114 120TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3014
Mailing Address - Country:US
Mailing Address - Phone:425-821-6000
Mailing Address - Fax:425-820-6288
Practice Address - Street 1:13114 120TH AVE NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3014
Practice Address - Country:US
Practice Address - Phone:425-821-6000
Practice Address - Fax:425-820-6288
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN 00160881163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery