Individual
MARIANNE K MCELROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003849
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131539
L&I REGULAR
WA
01
—
0970011140
RAILROAD MEDICARE
WA
05
—
1007236
—
WA
01
—
423898030
GROUP HEALTH COOPERATIVE
WA
01
—
67370
REGENCE BLUESHIELD
WA
05
—
8321564
—
WA
01
—
8925031
L&I CRIME VICTIM
WA
Enumeration date
07/26/2006
Last updated
12/13/2012
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