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Individual

ELLEN MICHELLE GISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 ISRAEL RD SE, TUMWATER, WA 98511-5355
(253) 582-8440
Mailing address
PO BOX 15165, TUMWATER, WA 98511-5165

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60559015
WA
363LF0000X
Family Nurse Practitioner
Primary
AP70004422
WA

Other

Enumeration date
09/28/2017
Last updated
06/23/2025
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