Provider Demographics
NPI:1124516455
Name:MESLIN, CORALIE SOPHIE (ARNP)
Entity type:Individual
Prefix:
First Name:CORALIE
Middle Name:SOPHIE
Last Name:MESLIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 BELLEVUE AVE APT 707
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-3680
Mailing Address - Country:US
Mailing Address - Phone:443-710-3956
Mailing Address - Fax:443-710-3956
Practice Address - Street 1:2511 M AVE STE A
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-3897
Practice Address - Country:US
Practice Address - Phone:360-293-9813
Practice Address - Fax:360-299-8605
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60766307163W00000X
WAAP60883164363LF0000X, 363LF0000X
MTNUR-APRN-LIC-143102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse