Provider Demographics
NPI:1053712513
Name:KESTER, MELISSA SCHORN (DNP, ARNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:SCHORN
Last Name:KESTER
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:MARY
Other - Last Name:SCHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, ARNP
Mailing Address - Street 1:901 BOREN AVE STE 1520
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3560
Mailing Address - Country:US
Mailing Address - Phone:206-292-0700
Mailing Address - Fax:206-709-0600
Practice Address - Street 1:901 BOREN AVE STE 1520
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3560
Practice Address - Country:US
Practice Address - Phone:206-292-0700
Practice Address - Fax:206-709-0600
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60481745363LP0200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1053712513Medicaid
WA1053712513Medicaid