Individual
MARY ELLEN MAXELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
200 W MERCER ST, #104, SEATTLE, WA 98119-3995
(206) 281-7163
(206) 281-5088
Mailing address
200 W MERCER ST, #104, SEATTLE, WA 98119-3995
(206) 281-7163
(206) 281-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30000010
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9623414
—
WA
Enumeration date
07/26/2006
Last updated
07/08/2007
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