Fan, Melody

Fan, Melody is an individual health care provider with primary practice located at 1135 116Th Ave Ne Suite 620, Bellevue WA 98004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fan, Melody can be contacted via phone (425) 454-8016.

Contact Information

Primary practice address
1135 116Th Ave Ne Suite 620 Bellevue WA 98004
Phone: (425) 454-8016
Fax: (425) 453-2827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004586 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004586 Washington

Profile Details

NPI number 1548308398
LBN Legal business name Fan, Melody
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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