Melissa Jo Tetreault in Lake Stevens - Specialist
Melissa Jo Tetreault - NPI 1487793790
Melissa Jo Tetreault is a Specialist in Lake Stevens, Washington. Melissa Jo Tetreault practices all healthcare services and medical treatments related to Specialist. The NPI Number for Melissa Jo Tetreault is 1487793790. The last update date is 2007-07-08.
Melissa Jo Tetreault's current location address is 11009 69th St Ne, Lake Stevens, Washington. You can contact this provider via phone number 4253346258 and fax number 4253341187. The mailing address for Melissa Jo Tetreault is 11009 69th St Ne, Lake Stevens, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Jo Tetreault |
|---|---|
| Address | 11009 69th St Ne, Lake Stevens, Washington |
| Phone Number | 4253346258 |
| Fax Number | 4253341187 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1487793790 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11009 69th St Ne |
|---|---|
| City | Lake Stevens |
| State | Washington (WA) |
| Post Code | 982582047 |
| Phone Number | 4253346258 |
| Fax Number | 4253341187 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00017810 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Melissa Jo Tetreault?
The Melissa Jo Tetreault has been issued the NPI (National Provider Identifier) 1487793790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Melissa Jo Tetreault is physically located?
The Melissa Jo Tetreault is situated at the following address: 11009 69Th St Ne, Lake Stevens, WA 982582047.
What is the area of specialization for Melissa Jo Tetreault, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Melissa Jo Tetreault is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When was the Melissa Jo Tetreault's 1487793790 issued?
The Melissa Jo Tetreault's 1487793790 was issued on 2007-02-05.
As of what date were the Melissa Jo Tetreault's details last updated?
The information pertaining to the Melissa Jo Tetreault, including its address, specialty, and other details, was most recently updated on 2007-07-08.