| Doctor Name: | MRS. MELINDA CECILE EKHOLM |
| NPI Number: | 1912008988 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | RN00082739 |
| Business Practice Address: | 3994 Colville Rd Loon Lake, WA - 991489789 |
| Business Phone Number: | 5092338412 |
| Business Fax Number: | 5092332864 |
| Mailing Address: | 3994 Colville Rd, Po Box 303 LOON LAKE |
| State: | WA |
| Postal Code: | 991489789 |
| Phone Number: | 5092338412 |
| Fax Number: | 5092332864 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 03/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | RN00082739 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |