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Individual

ELLY MCEACHERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 248-3334
Mailing address
5221 78TH AVENUE CT W, UNIVERSITY PLACE, WA 98467-1966
(253) 365-7049

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61346113
WA
163W00000X
Registered Nurse
RN61346113
WA
363L00000X
Nurse Practitioner
Primary
AP70040212
WA

Other

Enumeration date
05/30/2025
Last updated
09/08/2025
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