Most Relevant Information
Provider Data
| NPI Number: | 1003594607 |
| Provider Name: | MELANIE FAYE STAVIG AA, LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP60182407 |
Most Important Dates
| Enumeration Date: | 07/05/2023 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
4526 FEDERAL AVE
EVERETT
WA
982032132
Practice Location Phone/Fax
| Phone: | 4253496200 |
| Fax: |
Provider Mailing Location
4526 FEDERAL AVE
EVERETT
WA
982032132
Provider Mailing Phone/Fax
| Phone: | 4253496200 |
| Fax: |