Provider Demographics
NPI:1487798807
Name:CHASAN, MELISSA C (RN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:C
Last Name:CHASAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8416 SE 53RD PL
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-4641
Mailing Address - Country:US
Mailing Address - Phone:206-236-6782
Mailing Address - Fax:
Practice Address - Street 1:8416 SE 53RD PL
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-4641
Practice Address - Country:US
Practice Address - Phone:206-236-6782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00081532163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant