Provider Demographics
NPI:1730262270
Name:BRIGHAM, MERILEE (RN, BSN, IBCLC)
Entity type:Individual
Prefix:MS
First Name:MERILEE
Middle Name:
Last Name:BRIGHAM
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 CORLISS AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5741
Mailing Address - Country:US
Mailing Address - Phone:206-527-3489
Mailing Address - Fax:206-527-3489
Practice Address - Street 1:1421 NW 70TH ST
Practice Address - Street 2:GRACEWINDS PERINATAL SERVICES, INC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117
Practice Address - Country:US
Practice Address - Phone:206-527-3489
Practice Address - Fax:206-527-3489
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00077870163WL0100X, 163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Not Answered163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn