NPI 1194166272 · live from the CMS NPI Registry
Melissa Cordova, Au.D.
Audiologist in Tacoma, WA. National Provider Identifier 1194166272, active.
NPI record
| NPI | 1194166272 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 9600 Veterans Dr Sw, Building 6, Tacoma, WA 98493 |
| Practice phone | 253-582-8440 |
| Mailing address | 1660 S Columbian Way, Seattle, WA 98108 |
| Enumerated | July 17, 2013 |
| Last updated | October 26, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | AT006484 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.