Provider Demographics
NPI:1053924290
Name:SHAUL, MELANIE KAY (CD)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:KAY
Last Name:SHAUL
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 W BRIDGES RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:WA
Mailing Address - Zip Code:99006-8174
Mailing Address - Country:US
Mailing Address - Phone:509-720-6698
Mailing Address - Fax:
Practice Address - Street 1:316 W BRIDGES RD
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:WA
Practice Address - Zip Code:99006-8174
Practice Address - Country:US
Practice Address - Phone:509-720-6698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula