Individual
MRS. MEREDITH E ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, MSN
Contact information
Practice address
23525 NE NOVELTY HILL RD STE 111, REDMOND, WA 98053-1995
(206) 320-5190
(206) 320-5191
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61451370
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61453238
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2263308
—
WA
Enumeration date
09/28/2016
Last updated
12/14/2023
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