| Doctor Name: | MELANIE R HARTLEY |
| NPI Number: | 1003193632 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP60231193 |
| Business Practice Address: | 4545 Cordata Pkwy Suite 1e Bellingham, WA - 982267123 |
| Business Phone Number: | 3607382200 |
| Business Fax Number: | 3607525679 |
| Mailing Address: | Po Box 5096, BELLINGHAM |
| State: | WA |
| Postal Code: | 982275096 |
| Phone Number: | 3607382200 |
| Fax Number: | 3607525679 |
| NPI Enumeration Date: | 11/10/2011 |
| NPI Last Update Date: | 02/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0222X |
| License Number: | AP60231193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics, Critical Care |
| Taxonomy Definition: | |