Individual
ELIZABETH A. MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, CAMPUS BOX 356123, SEATTLE, WA 98195-0001
(206) 598-4228
Mailing address
PO BOX 24366, M/S 359107, SEATTLE, WA 98124-0366
(206) 598-8920
(206) 598-7663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00134686
WA
363LA2100X
Acute Care Nurse Practitioner
AP30005765
WA
363LA2200X
Adult Health Nurse Practitioner
AP30005765
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181054
LABOR & INDUSTRY
WA
05
—
9634775
—
WA
Enumeration date
07/17/2006
Last updated
09/11/2025
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