Ottenbacher, Melissa R
Ottenbacher, Melissa R is an individual health care provider with primary practice located at 450 S Kitsap Blvd Ste 2300, Port Orchard WA 98366-3773. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ottenbacher, Melissa R can be contacted via phone (360) 895-0216.Contact Information
Primary practice address
450 S Kitsap Blvd Ste 2300
Port Orchard WA 98366-3773
Phone: (360) 895-0216
Fax: (360) 895-7919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP60103856 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 364SP0200X | RN00167987 | Washington |
Profile Details
| NPI number | 1922099696 |
|---|---|
| LBN Legal business name | Ottenbacher, Melissa R |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922099696 | NPPES |
| Washington | MEDICAID | 9662412 | |
| Washington | Other | RN00167987 | |
| Washington | Other | AP60103856 |
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