Individual
ELISA GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
5140 SINCLAIR WAY, BREMERTON, WA 98312-4679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61347693
WA
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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