Melinda Cecile Ekholm in Loon Lake - Family

Melinda Cecile Ekholm - NPI 1912008988

Melinda Cecile Ekholm is a Family in Loon Lake, Washington. Melinda Cecile Ekholm practices all healthcare services and medical treatments related to Family. The NPI Number for Melinda Cecile Ekholm is 1912008988. The last update date is 2008-03-31.

Melinda Cecile Ekholm's current location address is 3994 Colville Rd, Loon Lake, Washington. You can contact this provider via phone number 5092338412 and fax number 5092332864. The mailing address for Melinda Cecile Ekholm is 3994 Colville Rd, Loon Lake, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Melinda Cecile Ekholm
Address 3994 Colville Rd, Loon Lake, Washington
Phone Number 5092338412
Fax Number 5092332864
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1912008988
Provider Enumeration Date 2006-09-25
Last Updated Date 2008-03-31

Provider Mailing Address Detail

Address 3994 Colville Rd
City Loon Lake
State Washington (WA)
Post Code 991489789
Phone Number 5092338412
Fax Number 5092332864

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No AP30005591
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9629320 WA --
143010 WA LABOR & INDUSTRIES ID #

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FAQs about Melinda Cecile Ekholm

What is the unique provider identifier assigned to Melinda Cecile Ekholm?

The Melinda Cecile Ekholm has been issued the NPI (National Provider Identifier) 1912008988 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Melinda Cecile Ekholm?

The Melinda Cecile Ekholm is physically situated at 3994 Colville Rd, in the city of Loon Lake, state of WA, with the postal code 991489789.

What is the Melinda Cecile Ekholm's specialty and taxonomy code?

The Melinda Cecile Ekholm's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912008988 to Melinda Cecile Ekholm?

The Centers for Medicare & Medicaid Services originally issued the 1912008988 to Melinda Cecile Ekholm on 2006-09-25.

When was the information regarding Melinda Cecile Ekholm most recently updated?

The details pertaining to the Melinda Cecile Ekholm, including its address, specialty, and other relevant information, were last refreshed on 2008-03-31.

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