NPI 1124052006

Melissa Kathryn Mack, CNM

Practitioner Advanced Practice Midwife Vancouver, WA

Practice location

Address: 2525 NE 139th St, Vancouver, WA 98686-2719
Phone: (360) 397-3870
Fax: (360) 397-3858
Mailing address: 700 NE 87th Ave, Vancouver, WA 98664-1913

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence AP30007582 (WA)

Other Advanced Practice Midwife providers in Washington →

Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Registry record

NPI: 1124052006
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2006
Record last updated: 26 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.