Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1033468327 |
---|---|
Provider Name | Melanie Anne Lyon Brindle |
First Address | Poulsbo, WA 98370-9015 |
Second Address | Poulsbo, WA 98370-9015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2012 |
Last Update Date | 26/06/2015 |