Provider Demographics
NPI:1881950822
Name:TAITCH, MELANA
Entity type:Individual
Prefix:
First Name:MELANA
Middle Name:
Last Name:TAITCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10828 SW 238TH ST
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-7604
Mailing Address - Country:US
Mailing Address - Phone:206-463-3775
Mailing Address - Fax:
Practice Address - Street 1:10828 SW 238TH ST
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-7604
Practice Address - Country:US
Practice Address - Phone:206-463-3775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula