Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | AP60481745 | WA |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP60481745 | WA |
NPI | 1053712513 |
---|---|
Provider Name | Melissa Schorn Kester |
First Address | Seattle, WA 98104-3560 |
Second Address | Seattle, WA 98104-3560 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2014 |
Last Update Date | 23/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053712513 | (05) | WA |