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Individual
AMY ELLEN NAVARRE CANTRELL
Active
Individual
AMY ELLEN NAVARRE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA10003249
WA
363A00000X
Physician Assistant
Primary
PA10003249
WA
363AM0700X
Medical Physician Assistant
155732
AK
363AM0700X
Medical Physician Assistant
MED-PAC-APP-85665
MT
363AM0700X
Medical Physician Assistant
PA10003249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
839017
—
WA
Enumeration date
10/27/2005
Last updated
09/30/2026
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