# ELLYN C. THOREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609977016
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP30003177 | WA | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | AP30003177 | WA | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 02/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9609231 | — | WA |