Most Relevant Information
Provider Data
| NPI Number: | 1003442419 |
| Provider Name: | MELINDA MOORE ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP61041911 |
Most Important Dates
| Enumeration Date: | 03/17/2020 |
| Last Updated: | 03/17/2020 |
Provider Practice Location
6332 SUMMERWOOD DR E
PUYALLUP
WA
983735005
Practice Location Phone/Fax
| Phone: | 2532289674 |
| Fax: |
Provider Mailing Location
6332 SUMMERWOOD DR E
PUYALLUP
WA
983735005
Provider Mailing Phone/Fax
| Phone: | 2532289674 |
| Fax: |